James Timothy Stackhouse in Shiprock - Nurse Anesthetist, Certified Registered
James Timothy Stackhouse - NPI 1730177494
James Timothy Stackhouse is a Nurse Anesthetist, Certified Registered in Shiprock, New Mexico. James Timothy Stackhouse practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for James Timothy Stackhouse is 1730177494. The last update date is 2011-01-25.
James Timothy Stackhouse's current location address is Po Box 160, Shiprock, New Mexico. You can contact this provider via phone number 5053686401 and fax number 5053686431. The mailing address for James Timothy Stackhouse is Po Box 160, Shiprock, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | James Timothy Stackhouse |
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Address | Po Box 160, Shiprock, New Mexico |
Phone Number | 5053686401 |
Fax Number | 5053686431 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1730177494 |
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Provider Enumeration Date | 2005-10-07 |
Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
Address | Po Box 160 |
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City | Shiprock |
State | New Mexico (NM) |
Post Code | 874200160 |
Phone Number | 5053686401 |
Fax Number | 5053686431 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 3435481 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
697766 | AZ | -- | |
79836534 | CO | -- | |
R5071 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James Timothy Stackhouse by the Centers for Medicare & Medicaid Services?
The James Timothy Stackhouse has been issued the NPI (National Provider Identifier) 1730177494, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where James Timothy Stackhouse is physically located?
The James Timothy Stackhouse is situated at the following address: Po Box 160, Shiprock, NM 874200160.
What is the area of specialization for James Timothy Stackhouse, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James Timothy Stackhouse is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.
On what date did the James Timothy Stackhouse receive its 1730177494 assignment from the Centers for Medicare & Medicaid Services?
The James Timothy Stackhouse was assigned its 1730177494 by the Centers for Medicare & Medicaid Services on 2005-10-07.
When was the information regarding James Timothy Stackhouse most recently updated?
The details pertaining to the James Timothy Stackhouse, including its address, specialty, and other relevant information, were last refreshed on 2011-01-25.
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