STACIE TITTAMIN

SYRACUSE, NY
NPI1669096707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  740498)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ  26NJ01041100)
163W00000X Registered Nurse
(Licence: NJ  26NR13744500)
Enumeration Date2020-06-04
Last Update Date2025-09-15
Business Address
-- STACIE TITTAMIN
736 IRVING AVE
SYRACUSE, NY 13210-1602
Phone number: 315-440-7111
Mailing Address
-- STACIE TITTAMIN
24 MONHEGON AVE
ROCKAWAY, NJ 07866-1808
Phone number: