SearchIllinois367500000X

David Stittsworth, CRNA

NPI 1689636540 · on the registry since 2006

Practice

Address
17713 E Shadow Lake Rd
Mount Vernon, IL 62864
Phone
(618) 244-2336
Fax
(618) 244-1993

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois