MEDICARE: MS. LEE ANN STABLER CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	APN7160	TN
2	367A00000X	Advanced Practice Midwife	236056	CA

General Provider Information

NPI Number	:	1427037563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEE ANN STABLER CNM

Provider Business Mailing Address
First Line	:	286 LAMAR LAWSON RD NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-5311
Country	:	US
Telephone Number	:	423-559-2612
Fax Number	:	423-728-2337

Provider Business Practice Location Address
First Line	:	286 LAMAR LAWSON RD NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-5311
Country	:	US
Telephone Number	:	423-716-0661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	12/02/2022

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