Tucker, Stephanie Beth
Tucker, Stephanie Beth is an individual health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Tucker, Stephanie Beth can be contacted via phone (270) 825-5100.Contact Information
Primary practice address
900 Hospital Dr
Madisonville KY 42431-1653
Phone: (270) 825-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1096558 | Kentucky |
Profile Details
| NPI number | 1336328749 |
|---|---|
| LBN Legal business name | Tucker, Stephanie Beth |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Sep 22nd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336328749 | NPPES |
| Kentucky | MEDICAID | 7100020780 | |
| Kentucky | Other | 1096558 |
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