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NPI Code Detail

MEDICARE: STACIE BROOKE STUDSTILL DNP

MEDICARE: STACIE BROOKE STUDSTILL DNP
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
1367500000XCertified Registered Nurse AnesthetistAPRN-CRNA223547GA

General Provider Information

NPI Number : 1467040055
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE BROOKE STUDSTILL DNP
Provider Business Mailing Address
First Line : 1015 FLEETWOOD DR
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-2346
Country : US
Telephone Number : 229-251-3492
Fax Number :
Provider Business Practice Location Address
First Line : 3651 WHEELER RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6521
Country : US
Telephone Number : 844-810-4299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2021
Last Update Date : 03/09/2026

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