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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336328749 NPPES
Kentucky MEDICAID 7100020780
Kentucky Other 1096558

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