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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL ANTHONY STOCKDALE JR., BSN, RN, CNOR, RNFA

Active Sole Proprietor

MR. MICHAEL ANTHONY STOCKDALE JR., BSN, RN, CNOR, RNFA is a Registered Nurse First Assistant healthcare provider located in DU BOIS, Pennsylvania. NPI 1710767157 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse First Assistant · DU BOIS, PA

Registration Details

NPI Number
1710767157
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2023 (2.6754105582859 yrs)
Last Updated
Oct 3, 2023
License
RN696394 (PA)
Sole Proprietor
Yes

Practice Information

Address
100 HOSPITAL AVE
DU BOIS, PA, 158011440
Browse PA providers · Browse ZIP 15801
Phone
8143712200
Primary Specialty
Registered Nurse First Assistant
163WR0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.