Individual provider · Type 1 NPI
Timothy Kyle Stacks, CRNA
Certified Registered Nurse Anesthetist · Camp Lejeune, NC
Practice location
100 Brewster Blvd, Naval Hospital Camp Lejeune
Camp Lejeune, NC 28547-2538
Mailing address
100 Dockside Dr
Jacksonville, NC 28546-9768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 149855 (NC) |
Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…
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- Robert Roland Bradford Iii, CRNACertified Registered Nurse Anesthetist Camp Lejeune, NC NPI 1124860408
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About NPI 1447224936
Timothy Kyle Stacks, CRNA's National Provider Identifier is 1447224936, issued on Feb 14, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Camp Lejeune, NC. The record was last updated on Jul 13, 2026.