Individual
STEPHANIE M DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3600
Mailing address
5 WHISPERING WOODS DR, SMITHTOWN, NY 11787-1662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11641010-4406
UT
Other
Enumeration date
11/22/2021
Last updated
12/27/2024
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