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

MR. JAMES TIMOTHY STACKHOUSE, CRNA

Active

MR. JAMES TIMOTHY STACKHOUSE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SHIPROCK, New Mexico. NPI 1730177494 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · SHIPROCK, NM

Registration Details

NPI Number
1730177494
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2005 (20.867397418926 yrs)
Last Updated
Jan 25, 2011
Licenses
03435481 (NY)
CRNA0631 (AZ)
R49230NM (AZ)
CRNA00781 (NM)

Practice Information

Address
US HWY 491 NORTH
SHIPROCK, NM, 87420
Browse NM providers · Browse ZIP 87420
Phone
5053686401
Fax
5053686431
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in SHIPROCK, NM

Name Credential NPI
MR. JASON BOYD GIROUARD CRNA, MSN 1285636191
MICHAEL M STEELE CRNA 1497770788
KRISTAL E DYE CRNA 1114258985
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.