NPI 1831774132
Kaitlyn Stasiak, CNIM
Practice location
- Address
- 3 Maryland Farms STE 200, Brentwood, TN 37027-5780
- Phone
- (615) 346-8738
- Fax
- (888) 468-6511
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1831774132
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Mar 2021
- Record last updated
- 17 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.