Provider Credentials



JUSTIN ALLEN, M.D.


ALABAMA 47781

ALASKA 213962

ARIZONA 63785

ARKANSAS E-17178

CALIFORNIA C159741

COLORADO CDR.0003441

CONNECTICUT 70770

DELAWARE C1-0026630

DISTRICT OF COLUMBIA MD500002611

FLORIDA TPME761

GEORGIA 70029

HAWAII MD-23927

IDAHO MC-2526

ILLINOIS 036155966

INDIANA 01092241A

IOWA MD-52428

KANSAS 04-48836

KENTUCKY C0189

LOUISIANA 339746

MAINE MD27815

MARYLAND D97305

MASSACHUSETTS 292171

MICHIGAN EMC0000972

MINNESOTA 75763

MISSISSIPPI 32705

MISSOURI 2023049273

MONTANA MED-PHYS-COM-LIC-131769

NEBRASKA CP470

NEVADA 24793

NEW HAMPSHIRE 22441

NEW JERSEY 25MA12015300

NEW MEXICO MD2023-1523

NEW YORK 266029

NORTH CAROLINA 2023-02984

NORTH DAKOTA 20510

OHIO 35C.001176

OKLAHOMA 42746

OREGON MD217884

PENNSYLVANIA MD482794

RHODE ISLAND MD19554

SOUTH CAROLINA 90919

SOUTH DAKOTA

TENNESSEE 63691

TEXAS S8519

UTAH 13710070-1235

VERMONT 42.0017463

VIRGINIA 101278701

WASHINGTON IMLC.MD.61510507

WEST VIRGINIA 33255

WISCONSIN 3787-320

WYOMING 16469C



YAMIL CARDEL, M.D.


ALABAMA MD.47557

ALASKA 214316

ARIZONA 70885

ARKANSAS E-17181

CALIFORNIA C194165

COLORADO DR.0071818

CONNECTICUT 76000

DELAWARE C1-0026552

DISTRICT OF COLUMBIA MD210012392

FLORIDA ME130719

GEORGIA 72730

HAWAII MD-23872

IDAHO M-17614

ILLINOIS 36.166853

INDIANA 01093355A

IOWA MD-52328

KANSAS 04-48644

KENTUCKY 50289

LOUISIANA 324490

MAINE MD27454

MARYLAND D0098656

MASSACHUSETTS 1017363

MICHIGAN 4301510449

MINNESOTA 76759

MISSISSIPPI 33107

MISSOURI 2018004807

MONTANA MED-PHYS-LIC-129179

NEBRASKA 36000

NEVADA 25453

NEW HAMPSHIRE 24996

NEW JERSEY 25MA12014800

NEW MEXICO MD2023-1350

NEW YORK 326090

NORTH CAROLINA 2024-01248

NORTH DAKOTA 20657

OHIO 35.149219

OKLAHOMA 43032

OREGON MD217459

PENNSYLVANIA MD482746

RHODE ISLAND MD19619

SOUTH CAROLINA 91341

SOUTH DAKOTA 32735

TENNESSEE 69423

TEXAS V0358

UTAH 13540964-1205

VERMONT 42.0017451

VIRGINIA 101280315

WASHINGTON MD61478011

WEST VIRGINIA 29572

WISCONSIN 84183 - 20

WYOMING TL8100



SUNEER CHANDER, M.D.


ALABAMA MD.46046

ALASKA 200859

ARIZONA 62373

ARKANSAS E-16071

CALIFORNIA C169763

COLORADO CDR.0002585

CONNECTICUT 72962

DELAWARE C1-0025954

DISTRICT OF COLUMBIA MD210002981

FLORIDA TPME739

GEORGIA 87287

HAWAII MD-23230

IDAHO MC-1192

ILLINOIS 36.154282

INDIANA 01088752A

IOWA MD-51196

KANSAS 04-46156

KENTUCKY C0095

LOUISIANA 332923

MAINE MD26973

MARYLAND D0096801

MASSACHUSETTS 217010

MICHIGAN 4301503135

MINNESOTA 70637

MISSISSIPPI 31433

MISSOURI 2023001055

MONTANA 114800

NEBRASKA CP092

NEVADA 23513

NEW HAMPSHIRE 20630

NEW JERSEY 25MA11675900

NEW MEXICO MD2023-0026

NEW YORK 306665

NORTH CAROLINA 2022-02063

NORTH DAKOTA 19575

OHIO 35C.000026

OKLAHOMA 41223

OREGON MD213868

PENNSYLVANIA MD477940

RHODE ISLAND MD18871

SOUTH CAROLINA 88975

SOUTH DAKOTA 14228

TENNESSEE 62492

TEXAS S8013

UTAH 13302186-1205

VERMONT 042.0016856

VIRGINIA 101277132

WASHINGTON IMLC.MD.61420399

WEST VIRGINIA 32289

WISCONSIN 2857-320

WYOMING 15582C



VIVEK CHANDER, M.D.


ALABAMA N/A

ALASKA 208305

ARIZONA N/A

ARKANSAS E-16997

CALIFORNIA C184350

COLORADO DR.0070413

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA TPME4891

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS 036.162787

INDIANA 01090737A

IOWA N/A

KANSAS N/A

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND N/A

MASSACHUSETTS MCS001613A

MICHIGAN N/A

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI 2023026764

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY 25MA11969600

NEW MEXICO MD2022-1539

NEW YORK 319872

NORTH CAROLINA 2023-00397

NORTH DAKOTA N/A

OHIO N/A

OKLAHOMA N/A

OREGON MD216009

PENNSYLVANIA MD481699

RHODE ISLAND MD19272

SOUTH CAROLINA 90569

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS N/A

UTAH N/A

VERMONT N/A

VIRGINIA 101279407

WASHINGTON N/A

WEST VIRGINIA N/A

WISCONSIN N/A

WYOMING N/A



LEO DAMASCO, M.D.


ALABAMA MD45768

ALASKA 197136

ARIZONA 67321

ARKANSAS E-15801

CALIFORNIA C183053

COLORADO DR.0069388

CONNECTICUT 74289

DELAWARE C1-0025492

DISTRICT OF COLUMBIA MD210003091

FLORIDA ME 159571

GEORGIA 94840

HAWAII MD-18283

IDAHO M-16741

ILLINOIS 000000036

INDIANA 01089219A

IOWA MD-50365

KANSAS 04-46620

KENTUCKY 57588

LOUISIANA 333046

MAINE TM26153

MARYLAND D0095196

MASSACHUSETTS MCS010381A

MICHIGAN 4301507676

MINNESOTA 2833

MISSISSIPPI 30883

MISSOURI 2022041335

MONTANA MED-PHYS-LIC-114421

NEBRASKA 17500

NEVADA 22841

NEW HAMPSHIRE 23578

NEW JERSEY 25MA11581800

NEW MEXICO N/A

NEW YORK 318706

NORTH CAROLINA 2022-02397

NORTH DAKOTA 18989

OHIO 35.145929

OKLAHOMA 39955

OREGON MD212250

PENNSYLVANIA MD479044

RHODE ISLAND MD18688

SOUTH CAROLINA 88555

SOUTH DAKOTA N/A

TENNESSEE 66194

TEXAS U0099

UTAH 13033137-1205

VERMONT 042.0016741

VIRGINIA 101276687

WASHINGTON MD.61326342

WEST VIRGINIA 31762

WISCONSIN 81022

WYOMING 15178A



THOMAS DOOHAN, M.D.


ALABAMA 48413

ALASKA 216919

ARIZONA 73206

ARKANSAS E-17338

CALIFORNIA 182338

COLORADO CDR.0003761

CONNECTICUT 77180

DELAWARE C1-0026892

DISTRICT OF COLUMBIA MD500003144

FLORIDA ME 157891

GEORGIA 93774

HAWAII MD214180

IDAHO MC-2738

ILLINOIS 36.169328

INDIANA 01092954A

IOWA MD-52853

KANSAS 04-49113

KENTUCKY C2496

LOUISIANA 340748

MAINE MD28097

MARYLAND D0099796

MASSACHUSETTS 1017845

MICHIGAN EMC0004823

MINNESOTA 76422

MISSISSIPPI 33141

MISSOURI 2023048197

MONTANA 138610

NEBRASKA CP680

NEVADA 25320

NEW HAMPSHIRE 25703

NEW JERSEY 25MA12072700

NEW MEXICO MD2024-0158

NEW YORK 234506

NORTH CAROLINA 2006-00826

NORTH DAKOTA 20956

OHIO 35C.001428

OKLAHOMA 43299

OREGON MD218170

PENNSYLVANIA MD478310

RHODE ISLAND MD19559

SOUTH CAROLINA 51718

SOUTH DAKOTA 15234

TENNESSEE 71034

TEXAS T8803

UTAH 13870503-1235

VERMONT 42.0017695

VIRGINIA 101275984

WASHINGTON MD61305204

WEST VIRGINIA 33524

WISCONSIN 4152-320

WYOMING 16788C



LAUREN DUBEY, APRN


ALABAMA N/A

ALASKA N/A

ARIZONA N/A

ARKANSAS N/A

CALIFORNIA 95005180

COLORADO APN.0997043

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA TPAN2387

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS N/A

INDIANA N/A

IOWA N/A

KANSAS N/A

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND N/A

MASSACHUSETTS N/A

MICHIGAN N/A

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI N/A

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY N/A

NEW MEXICO N/A

NEW YORK 353811

NORTH CAROLINA N/A

NORTH DAKOTA N/A

OHIO N/A

OKLAHOMA N/A

OREGON N/A

PENNSYLVANIA N/A

RHODE ISLAND N/A

SOUTH CAROLINA N/A

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS N/A

UTAH N/A-4405

VERMONT 101.0137142TELE

VIRGINIA 24186352

WASHINGTON N/A

WEST VIRGINIA N/A

WISCONSIN N/A

WYOMING N/A



CHRISTOPHER FINDLEY, M.D.


ALABAMA 45616

ALASKA N/A

ARIZONA 71140

ARKANSAS N/A

CALIFORNIA N/A

COLORADO CDR.0003078

CONNECTICUT 75796

DELAWARE C1-0026350

DISTRICT OF COLUMBIA MD500001768

FLORIDA TPME4461

GEORGIA 96876

HAWAII N/A

IDAHO MC-2301

ILLINOIS 36.166429

INDIANA 01091312A

IOWA MD-51929

KANSAS 04-48376

KENTUCKY C1835

LOUISIANA 338219

MAINE MD27436

MARYLAND D98332

MASSACHUSETTS N/A

MICHIGAN EMC0003787

MINNESOTA 74993

MISSISSIPPI 30154

MISSOURI N/A

MONTANA MED-PHYS-COM-LIC-128731

NEBRASKA CP309

NEVADA 22004

NEW HAMPSHIRE 16407

NEW JERSEY 25IA12098700

NEW MEXICO N/A

NEW YORK 257339

NORTH CAROLINA N/A

NORTH DAKOTA 20168

OHIO 35C.000836

OKLAHOMA 40774

OREGON N/A

PENNSYLVANIA N/A

RHODE ISLAND MD19889

SOUTH CAROLINA 92347

SOUTH DAKOTA 13302

TENNESSEE 40811

TEXAS T5737

UTAH 13153563-1205

VERMONT 42.0017231

VIRGINIA 101281415

WASHINGTON IMLC.MD.61280312

WEST VIRGINIA 32869

WISCONSIN N/A

WYOMING 14339C



NIRAJ GOVIL, M.D.


ALABAMA N/A

ALASKA N/A

ARIZONA N/A

ARKANSAS N/A

CALIFORNIA C 170146

COLORADO N/A

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA ME147665

GEORGIA 89903

HAWAII N/A

IDAHO N/A

ILLINOIS 36157175

INDIANA N/A

IOWA N/A

KANSAS N/A

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND N/A

MASSACHUSETTS N/A

MICHIGAN 4301504807

MINNESOTA N/A

MISSISSIPPI 26366

MISSOURI N/A

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY 25MA06645400

NEW MEXICO N/A

NEW YORK 310455

NORTH CAROLINA N/A

NORTH DAKOTA N/A

OHIO 35.132613

OKLAHOMA N/A

OREGON N/A

PENNSYLVANIA MD474648

RHODE ISLAND N/A

SOUTH CAROLINA N/A

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS S8709

UTAH N/A

VERMONT N/A

VIRGINIA 0101272297

WASHINGTON N/A

WEST VIRGINIA N/A

WISCONSIN N/A

WYOMING N/A



REBECCA HAMPTON, NP


ALABAMA N/A

ALASKA N/A

ARIZONA TELE303190

ARKANSAS N/A

CALIFORNIA N/A

COLORADO C-APN 010611C/ RXN 0101054

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA 11029630

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS N/A

INDIANA N/A

IOWA N/A

KANSAS 53-83099-072

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND AC006005

MASSACHUSETTS N/A

MICHIGAN N/A

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI 132195

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY N/A

NEW MEXICO N/A

NEW YORK N/A

NORTH CAROLINA N/A

NORTH DAKOTA N/A

OHIO N/A

OKLAHOMA N/A

OREGON N/A

PENNSYLVANIA N/A

RHODE ISLAND N/A

SOUTH CAROLINA N/A

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS N/A

UTAH N/A

VERMONT N/A

VIRGINIA N/A

WASHINGTON N/A

WEST VIRGINIA 117701

WISCONSIN N/A

WYOMING N/A



JESSICA ISNETTO, ARNP


ALABAMA

ALASKA

ARIZONA NP 234205

ARKANSAS

CALIFORNIA

COLORADO C-APN.0001753-C-NP

CONNECTICUT NP 12.008720

DELAWARE LG-0012579

DISTRICT OF COLUMBIA

FLORIDA APRN9195388

GEORGIA

HAWAII

IDAHO

ILLINOIS NP 209.028931

INDIANA

IOWA NP A154403

KANSAS

KENTUCKY NP 3013724

LOUISIANA

MAINE CNP231141

MARYLAND AC005021

MASSACHUSETTS Conditional APRN RN2391777

MICHIGAN

MINNESOTA NP 4456

MISSISSIPPI

MISSOURI NP 2018037138

MONTANA APRN 213733

NEBRASKA NP 113201

NEVADA

NEW HAMPSHIRE 092802-23

NEW JERSEY

NEW MEXICO 73703

NEW YORK NP 350451

NORTH CAROLINA

NORTH DAKOTA R54065

OHIO APRN.CNP.0034134

OKLAHOMA NP M0114076

OREGON APRN 10019955

PENNSYLVANIA

RHODE ISLAND NP APRN03447

SOUTH CAROLINA

SOUTH DAKOTA CP002752

TENNESSEE NP 27100

TEXAS 1086073

UTAH

VERMONT 101.0136758

VIRGINIA NP 0024184807

WASHINGTON NP AP61058612

WEST VIRGINIA

WISCONSIN

WYOMING NP 46086



KEI KIKUHARA, M.D.


ALABAMA 45001

ALASKA 200752

ARIZONA 66603

ARKANSAS E-16081

CALIFORNIA C 178235

COLORADO CDRH.0068573

CONNECTICUT 73139

DELAWARE C1-0025515

DISTRICT OF COLUMBIA N/A

FLORIDA ME 156709

GEORGIA 94017

HAWAII MD-17438

IDAHO M-16667

ILLINOIS 36161473

INDIANA 01088429A

IOWA MD-50573

KANSAS TW-00186

KENTUCKY 56772

LOUISIANA 333675

MAINE MD26514

MARYLAND D0095646

MASSACHUSETTS 292845

MICHIGAN 4301508019

MINNESOTA 72629

MISSISSIPPI 30829

MISSOURI 2022047674

MONTANA MED-PHYS-COM-LIC-116268

NEBRASKA 35112

NEVADA SP469

NEW HAMPSHIRE 23312

NEW JERSEY 25MA11565800

NEW MEXICO TM2022-0345

NEW YORK 315127

NORTH CAROLINA 2022-02687

NORTH DAKOTA 19050

OHIO 35.144662

OKLAHOMA 40466

OREGON MD210611

PENNSYLVANIA MD477762

RHODE ISLAND MD18807

SOUTH CAROLINA 88953

SOUTH DAKOTA 13870

TENNESSEE 66495

TEXAS U0611

UTAH 13054391-1205

VERMONT 042.0016512-COMP

VIRGINIA 101275198

WASHINGTON MD61293465

WEST VIRGINIA 31881

WISCONSIN 2363-320

WYOMING 15113C



STACY JONES, NP


ALABAMA

ALASKA 230939

ARIZONA RNP239532

ARKANSAS 124401

CALIFORNIA NP95023519

COLORADO C-APRN-0001873-C-NP

CONNECTICUT

DELAWARE LP-0010708

DISTRICT OF COLUMBIA NP200004148

FLORIDA 332

GEORGIA

HAWAII

IDAHO 66436

ILLINOIS

INDIANA

IOWA H156286

KANSAS

KENTUCKY 3014251

LOUISIANA

MAINE CNP231055

MARYLAND AC003145

MASSACHUSETTS 2348293

MICHIGAN 4704258947

MINNESOTA

MISSISSIPPI

MISSOURI

MONTANA APRN-146711

NEBRASKA NP 113072

NEVADA 847521

NEW HAMPSHIRE 078807-23

NEW JERSEY

NEW MEXICO 58763

NEW YORK 432516

NORTH CAROLINA

NORTH DAKOTA 49090

OHIO

OKLAHOMA

OREGON 10005557

PENNSYLVANIA SP027584

RHODE ISLAND APRN03468

SOUTH CAROLINA

SOUTH DAKOTA CP 001736

TENNESSEE

TEXAS AP145790

UTAH 11629160-4405

VERMONT

VIRGINIA 24188665

WASHINGTON NP61395635

WEST VIRGINIA

WISCONSIN

WYOMING 46934



JENNIFER LOGAN, ARNP, FNP-BC


ALABAMA

ALASKA

ARIZONA

ARKANSAS

CALIFORNIA

COLORADO C-APN.0101436-C- NP

CONNECTICUT

DELAWARE

DISTRICT OF COLUMBIA

FLORIDA APRN9252175

GEORGIA

HAWAII

IDAHO

ILLINOIS

INDIANA

IOWA

KANSAS

KENTUCKY

LOUISIANA

MAINE

MARYLAND

MASSACHUSETTS

MICHIGAN

MINNESOTA

MISSISSIPPI

MISSOURI

MONTANA

NEBRASKA

NEVADA 827056

NEW HAMPSHIRE

NEW JERSEY

NEW MEXICO

NEW YORK 344080

NORTH CAROLINA

NORTH DAKOTA

OHIO

OKLAHOMA

OREGON 201810264NP-PP

PENNSYLVANIA

RHODE ISLAND APRN02054

SOUTH CAROLINA

SOUTH DAKOTA

TENNESSEE

TEXAS

UTAH 13678961-4405

VERMONT

VIRGINIA

WASHINGTON AP61131815

WEST VIRGINIA APRN101674

WISCONSIN

WYOMING



JILLIAN LOPIANO, M.D.


ALABAMA N/A

ALASKA N/A

ARIZONA N/A

ARKANSAS N/A

CALIFORNIA C187068

COLORADO N/A

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA ME163453

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS 36165662

INDIANA N/A

IOWA N/A

KANSAS N/A

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND N/A

MASSACHUSETTS N/A

MICHIGAN N/A

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI N/A

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY 25MA11870800

NEW MEXICO N/A

NEW YORK 321160

NORTH CAROLINA N/A

NORTH DAKOTA N/A

OHIO N/A

OKLAHOMA N/A

OREGON N/A

PENNSYLVANIA MD482565

RHODE ISLAND N/A

SOUTH CAROLINA N/A

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS R2659

UTAH N/A

VERMONT N/A

VIRGINIA 101278044

WASHINGTON N/A

WEST VIRGINIA N/A

WISCONSIN N/A

WYOMING N/A



SARA MEDUNICK, D.O.


ALABAMA N/A

ALASKA N/A

ARIZONA 009976

ARKANSAS N/A

CALIFORNIA 20A15722

COLORADO 64200

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA N/A

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS N/A

INDIANA N/A

IOWA N/A

KANSAS N/A

KENTUCKY 04055

LOUISIANA N/A

MAINE N/A

MARYLAND N/A

MASSACHUSETTS N/A

MICHIGAN N/A

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI 2019005231

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY 25MB07846300

NEW MEXICO N/A

NEW YORK 286639

NORTH CAROLINA N/A

NORTH DAKOTA N/A

OHIO N/A

OKLAHOMA N/A

OREGON N/A

PENNSYLVANIA N/A

RHODE ISLAND N/A

SOUTH CAROLINA N/A

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS N/A

UTAH N/A

VERMONT N/A

VIRGINIA 0102204846

WASHINGTON N/A

WEST VIRGINIA N/A

WISCONSIN 72318

WYOMING N/A



TAKASHI NAKAMURA, M.D.


ALABAMA 42886

ALASKA 166943

ARIZONA 62592

ARKANSAS E-13956

CALIFORNIA C171448

COLORADO CDR.0001224

CONNECTICUT 68598

DELAWARE C1-0024095

DISTRICT OF COLUMBIA MD048925

FLORIDA ME149982

GEORGIA 89670

HAWAII MD-17392

IDAHO MC-0962

ILLINOIS 36.157725

INDIANA 01085065A

IOWA MD-48717

KANSAS 04-44955

KENTUCKY 55095

LOUISIANA 325538

MAINE MD25102

MARYLAND D0092140

MASSACHUSETTS 286609

MICHIGAN EMC0001161

MINNESOTA 69734

MISSISSIPPI 29144

MISSOURI 2021019466

MONTANA 100319

NEBRASKA 33727

NEVADA 20204

NEW HAMPSHIRE 21724

NEW JERSEY 25MA11074900

NEW MEXICO MD2021-0053

NEW YORK 308020

NORTH CAROLINA 2021-00321

NORTH DAKOTA 17592

OHIO 35.141118

OKLAHOMA 38560

OREGON MD202933

PENNSYLVANIA MD473025

RHODE ISLAND MD17720

SOUTH CAROLINA 85339

SOUTH DAKOTA 12874

TENNESSEE 64160

TEXAS T1483

UTAH 12385911-1205

VERMONT 42.0015426

VIRGINIA 0101270202

WASHINGTON MD61124561

WEST VIRGINIA 30682

WISCONSIN 1416-320

WYOMING 13649C



MICHAEL REGAN, M.D.


ALABAMA MD.45064

ALASKA 205474

ARIZONA 70342

ARKANSAS E-16442

CALIFORNIA C183239

COLORADO CDR.0002218

CONNECTICUT 1.073246

DELAWARE C1-0026094

DISTRICT OF COLUMBIA MD210011626

FLORIDA TPME4670

GEORGIA 94078

HAWAII MD-23505

IDAHO MC-1728

ILLINOIS 36162258

INDIANA 01090014A

IOWA MD-51661

KANSAS 04-47901

KENTUCKY C1619

LOUISIANA 336240

MAINE MD27158

MARYLAND D97442

MASSACHUSETTS 238929

MICHIGAN EMC0002581

MINNESOTA 74124

MISSISSIPPI 31879

MISSOURI 2023013134

MONTANA MED-PHYS-COM-LIC-126799

NEBRASKA CP174

NEVADA 22962

NEW HAMPSHIRE 21046

NEW JERSEY 25MA11975500

NEW MEXICO TM2023-1006

NEW YORK 319303

NORTH CAROLINA 2023-01464

NORTH DAKOTA 19793

OHIO 35.000156

OKLAHOMA 41712

OREGON MD215010

PENNSYLVANIA MD480769

RHODE ISLAND MD17295

SOUTH CAROLINA 89472

SOUTH DAKOTA 14387

TENNESSEE 67112

TEXAS UO526

UTAH 13395766-1205

VERMONT 42.0017037

VIRGINIA 101278051

WASHINGTON MD61364122

WEST VIRGINIA 32635

WISCONSIN 2379-320

WYOMING 15803C



MARC SEROTA,M.D.


ALABAMA MD.36380

ALASKA 187248

ARIZONA 55226

ARKANSAS E-13616

CALIFORNIA A 162686

COLORADO 52146

CONNECTICUT 65167

DELAWARE C1-0023995

DISTRICT OF COLUMBIA N/A

FLORIDA ME129254

GEORGIA 83502

HAWAII 19710

IDAHO MC-0044

ILLINOIS 36145168

INDIANA 01083674A

IOWA MD-45015

KANSAS 04-40730

KENTUCKY C0022

LOUISIANA 305644

MAINE N/A

MARYLAND D0088233

MASSACHUSETTS N/A

MICHIGAN EMC0000010

MINNESOTA N/A

MISSISSIPPI 25653

MISSOURI 2016026398

MONTANA 66092

NEBRASKA 30666

NEVADA 17736

NEW HAMPSHIRE 18504

NEW JERSEY N/A

NEW MEXICO TM2020-0286

NEW YORK 253165

NORTH CAROLINA 2019-02794

NORTH DAKOTA 15990

OHIO 35.138036

OKLAHOMA 35583

OREGON MD198021

PENNSYLVANIA 469816

RHODE ISLAND MD17024

SOUTH CAROLINA 83418

SOUTH DAKOTA 10824

TENNESSEE 60273

TEXAS R9280

UTAH 10744540-1205

VERMONT N/A

VIRGINIA 0101268839

WASHINGTON MD60836458

WEST VIRGINIA 28118

WISCONSIN 67965

WYOMING 11410C



PREETIKA SIDHU, M.D.


ALABAMA N/A

ALASKA 218900

ARIZONA N/A

ARKANSAS E-17776

CALIFORNIA N/A

COLORADO N/A

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA N/A

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS N/A

INDIANA N/A

IOWA N/A

KANSAS N/A

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND N/A

MASSACHUSETTS N/A

MICHIGAN N/A

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI N/A

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY N/A

NEW MEXICO MD 2024-0352

NEW YORK 330876-01

NORTH CAROLINA N/A

NORTH DAKOTA N/A

OHIO N/A

OKLAHOMA N/A

OREGON N/A

PENNSYLVANIA N/A

RHODE ISLAND MD1967-8

SOUTH CAROLINA 91701

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS N/A

UTAH N/A

VERMONT N/A

VIRGINIA 101058464

WASHINGTON N/A

WEST VIRGINIA N/A

WISCONSIN N/A

WYOMING N/A



AUDREY SCHAPS, APRN


ALABAMA N/A

ALASKA N/A

ARIZONA N/A

ARKANSAS N/A

CALIFORNIA 95008651

COLORADO N/A

CONNECTICUT N/A

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA TPAN90

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS N/A

INDIANA N/A

IOWA N/A

KANSAS N/A

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND N/A

MASSACHUSETTS N/A

MICHIGAN N/A

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI N/A

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY N/A

NEW MEXICO N/A

NEW YORK N/A

NORTH CAROLINA N/A

NORTH DAKOTA R52290

OHIO N/A

OKLAHOMA N/A

OREGON 202105763NP-PP

PENNSYLVANIA SP026797

RHODE ISLAND N/A

SOUTH CAROLINA N/A

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS 1017009

UTAH 12103244-4405

VERMONT N/A

VIRGINIA N/A

WASHINGTON N/A

WEST VIRGINIA N/A

WISCONSIN N/A

WYOMING N/A



HAILEY SIBBETT, D.O.


ALABAMA 3338

ALASKA 215587

ARIZONA 10618

ARKANSAS E-17389

CALIFORNIA

COLORADO CDR.0002977

CONNECTICUT 75687

DELAWARE C2-024447

DISTRICT OF COLUMBIA DO210012387

FLORIDA

GEORGIA 97005

HAWAII DOS-2537

IDAHO OC-0344

ILLINOIS 036147234

INDIANA 02007603A

IOWA DO-06471

KANSAS 05-48293

KENTUCKY C1899

LOUISIANA N/A

MAINE DO3839

MARYLAND H99211

MASSACHUSETTS 1017669

MICHIGAN EMC0003669

MINNESOTA 74745

MISSISSIPPI 32324

MISSOURI 2023049999

MONTANA MED-PHYS-COM-LIC-128153

NEBRASKA COPS146

NEVADA CL0371

NEW HAMPSHIRE 25621

NEW JERSEY 25MB12045800

NEW MEXICO DO2023-1098

NEW YORK 326522

NORTH CAROLINA 2023-03418

NORTH DAKOTA 20069

OHIO 34C.000218

OKLAHOMA 8223

OREGON DO218164

PENNSYLVANIA OS023383

RHODE ISLAND DO01300

SOUTH CAROLINA 91269

SOUTH DAKOTA 15219

TENNESSEE 5558

TEXAS U5569

UTAH 13489561-1204

VERMONT 162.0000221

VIRGINIA 102208313

WASHINGTON DO.OP.61532362-IMLC

WEST VIRGINIA 4234

WISCONSIN 2775-321

WYOMING 16731C



ANDREA SLEETH, WHNP-BC


ALABAMA

ALASKA 173770

ARIZONA 249880

ARKANSAS 215131

CALIFORNIA 95020568

COLORADO

CONNECTICUT 9540

DELAWARE

DISTRICT OF COLUMBIA

FLORIDA 229

GEORGIA

HAWAII

IDAHO 66394

ILLINOIS

INDIANA 71013062A

IOWA

KANSAS 53-80011-022

KENTUCKY

LOUISIANA 218493

MAINE CNP211233

MARYLAND

MASSACHUSETTS

MICHIGAN

MINNESOTA

MISSISSIPPI 904821

MISSOURI 2020024630

MONTANA

NEBRASKA

NEVADA

NEW HAMPSHIRE

NEW JERSEY 26NJ01156200

NEW MEXICO 62645

NEW YORK

NORTH CAROLINA 5015503

NORTH DAKOTA

OHIO APRN.CNP.0029926

OKLAHOMA

OREGON 202106472NP-PP

PENNSYLVANIA SP023812

RHODE ISLAND APRN02633

SOUTH CAROLINA

SOUTH DAKOTA CP002626

TENNESSEE 29559

TEXAS

UTAH

VERMONT

VIRGINIA 0024181109

WASHINGTON AP61159561

WEST VIRGINIA 108993

WISCONSIN

WYOMING



CASSANDRA STARK, WHNP-BC


ALABAMA

ALASKA

ARIZONA

ARKANSAS

CALIFORNIA

COLORADO 991661

CONNECTICUT

DELAWARE

DISTRICT OF COLUMBIA

FLORIDA

GEORGIA

HAWAII

IDAHO

ILLINOIS

INDIANA

IOWA

KANSAS

KENTUCKY

LOUISIANA

MAINE CNP221049

MARYLAND AC005836

MASSACHUSETTS MCS008959B

MICHIGAN

MINNESOTA

MISSISSIPPI

MISSOURI

MONTANA

NEBRASKA

NEVADA

NEW HAMPSHIRE

NEW JERSEY

NEW MEXICO NP- 66855

NEW YORK 421613

NORTH CAROLINA

NORTH DAKOTA

OHIO

OKLAHOMA

OREGON 202206184NP-PP

PENNSYLVANIA

RHODE ISLAND

SOUTH CAROLINA

SOUTH DAKOTA

TENNESSEE

TEXAS

UTAH

VERMONT

VIRGINIA

WASHINGTON

WEST VIRGINIA

WISCONSIN

WYOMING



LESLEE STEVENSON, M.D.


ALABAMA 47447

ALASKA 213316

ARIZONA 71060

ARKANSAS E-17468

CALIFORNIA C191955

COLORADO DR 0071893

CONNECTICUT 75911

DELAWARE C1-0026564

DISTRICT OF COLUMBIA MD 210012310

FLORIDA TPME6105

GEORGIA 98027

HAWAII MD 12858

IDAHO M-17532

ILLINOIS 036167320

INDIANA 01092324A

IOWA MD 52270

KANSAS

KENTUCKY 58748

LOUISIANA 339764

MAINE MD27410

MARYLAND D29076

MASSACHUSETTS 1017973

MICHIGAN 4301510310

MINNESOTA 2992

MISSISSIPPI 32480

MISSOURI 2023050573

MONTANA 131838

NEBRASKA 36063

NEVADA

NEW HAMPSHIRE 24929

NEW JERSEY 25MAI2015100

NEW MEXICO TM2023-1122

NEW YORK 326001-01

NORTH CAROLINA 2023-03918

NORTH DAKOTA 20514

OHIO 35.149544

OKLAHOMA 42208

OREGON MD217691

PENNSYLVANIA MD483142

RHODE ISLAND MD 19476

SOUTH CAROLINA MD 90853

SOUTH DAKOTA 14965

TENNESSEE 69640

TEXAS U7524

UTAH 13593802-1205

VERMONT

VIRGINIA 0101280140

WASHINGTON MD 39355

WEST VIRGINIA 33200

WISCONSIN

WYOMING 16B51A



FRANK SUPPA, D.O.


ALABAMA 2818

ALASKA N/A

ARIZONA 010241

ARKANSAS N/A

CALIFORNIA 19769

COLORADO CDR.0001784

CONNECTICUT 73596

DELAWARE C2-0024225

DISTRICT OF COLUMBIA N/A

FLORIDA OS18650

GEORGIA 91442

HAWAII N/A

IDAHO OC-0187

ILLINOIS 036.157096

INDIANA 02007145A

IOWA DO-06266

KANSAS 05-45896

KENTUCKY C0638

LOUISIANA 330223

MAINE DO3380

MARYLAND H0093567

MASSACHUSETTS 295303

MICHIGAN EMC0001735

MINNESOTA 70988

MISSISSIPPI 29933

MISSOURI 2021027428

MONTANA MED-Phys-Com-LIC-108757

NEBRASKA 2558

NEVADA N/A

NEW HAMPSHIRE 22461

NEW JERSEY 25MA11735900

NEW MEXICO N/A

NEW YORK 262705

NORTH CAROLINA 2023-00939

NORTH DAKOTA 18143

OHIO 34.014968

OKLAHOMA 7549

OREGON DO214461

PENNSYLVANIA OS021611

RHODE ISLAND N/A

SOUTH CAROLINA 83457

SOUTH DAKOTA 13309

TENNESSEE 4759

TEXAS T4857

UTAH 12764439-1204

VERMONT 162.0000063

VIRGINIA 102208241

WASHINGTON DO.OP.61353715-IMLC

WEST VIRGINIA 3849

WISCONSIN 1710

WYOMING 14337C



ELIZABETH SWENSON, M.D.


ALABAMA N/A

ALASKA N/A

ARIZONA N/A

ARKANSAS N/A

CALIFORNIA A-82186

COLORADO DR.0071018

CONNECTICUT 74905

DELAWARE N/A

DISTRICT OF COLUMBIA N/A

FLORIDA ME156610

GEORGIA N/A

HAWAII N/A

IDAHO N/A

ILLINOIS 036161084

INDIANA N/A

IOWA N/A

KANSAS N/A

KENTUCKY N/A

LOUISIANA N/A

MAINE N/A

MARYLAND D97025

MASSACHUSETTS N/A

MICHIGAN 4301509682

MINNESOTA N/A

MISSISSIPPI N/A

MISSOURI N/A

MONTANA N/A

NEBRASKA N/A

NEVADA N/A

NEW HAMPSHIRE N/A

NEW JERSEY 25MA11781000

NEW MEXICO MD2023-1159

NEW YORK 316916

NORTH CAROLINA N/A

NORTH DAKOTA N/A

OHIO N/A

OKLAHOMA N/A

OREGON N/A

PENNSYLVANIA MD481082

RHODE ISLAND N/A

SOUTH CAROLINA N/A

SOUTH DAKOTA N/A

TENNESSEE N/A

TEXAS N/A

UTAH N/A

VERMONT N/A

VIRGINIA N/A

WASHINGTON MD61426025

WEST VIRGINIA N/A

WISCONSIN N/A

WYOMING N/A



JAMES TEET, D.O.


ALABAMA 2611

ALASKA 216773

ARIZONA 9744

ARKANSAS E-13592

CALIFORNIA 18647

COLORADO CDR.0001338

CONNECTICUT 73492

DELAWARE C2-0023864

DISTRICT OF COLUMBIA N/A

FLORIDA OS12767

GEORGIA 72832

HAWAII N/A

IDAHO OC-0106

ILLINOIS 36160567

INDIANA 02006987A

IOWA DO-06072

KANSAS TW-00019

KENTUCKY 03755

LOUISIANA 324567

MAINE DO3166

MARYLAND H90580

MASSACHUSETTS 291828

MICHIGAN 5101025908

MINNESOTA 71504

MISSISSIPPI 29437

MISSOURI 2022033979

MONTANA 1740576925

NEBRASKA 2298

NEVADA 1740576925

NEW HAMPSHIRE 16884

NEW JERSEY 25MB11199900

NEW MEXICO N/A

NEW YORK 267625

NORTH CAROLINA 2014-02010

NORTH DAKOTA 18451

OHIO 34.011517

OKLAHOMA 7940

OREGON DO201745

PENNSYLVANIA N/A

RHODE ISLAND N/A

SOUTH CAROLINA 36750

SOUTH DAKOTA 12352

TENNESSEE 2729

TEXAS S8661

UTAH N/A

VERMONT 162.0000136

VIRGINIA 0102203990

WASHINGTON OP61127003

WEST VIRGINIA 9216

WISCONSIN 1030-321

WYOMING 15512C



Last updated June 26, 2024