David L Stittsworth in Mount Vernon - Nurse Anesthetist, Certified Registered
David L Stittsworth - NPI 1689636540
David L Stittsworth is a Nurse Anesthetist, Certified Registered in Mount Vernon, Illinois. David L Stittsworth practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for David L Stittsworth is 1689636540. The last update date is 2021-12-08.
David L Stittsworth's current location address is 17713 E Shadow Lake Rd, Mount Vernon, Illinois. You can contact this provider via phone number 6182442336 and fax number 6182441993. The mailing address for David L Stittsworth is 17713 E Shadow Lake Rd, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David L Stittsworth |
|---|---|
| Address | 17713 E Shadow Lake Rd, Mount Vernon, Illinois |
| Phone Number | 6182442336 |
| Fax Number | 6182441993 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1689636540 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2021-12-08 |
Provider Mailing Address Detail
| Address | 17713 E Shadow Lake Rd |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628648136 |
| Phone Number | 6182442336 |
| Fax Number | 6182441993 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 209000982 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to David L Stittsworth by the Centers for Medicare & Medicaid Services?
The David L Stittsworth has been assigned the NPI (National Provider Identifier) 1689636540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the David L Stittsworth's physical address?
The David L Stittsworth is physically located at 17713 E Shadow Lake Rd, in the city of Mount Vernon, IL, with the postal code 628648136.
What is David L Stittsworth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David L Stittsworth is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.
When was the David L Stittsworth's 1689636540 issued?
The David L Stittsworth's 1689636540 was issued on 2006-04-05.
When was the David L Stittsworth's information last updated?
The David L Stittsworth's information was last updated on 2021-12-08.