Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie M Damitio, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1447585435

Stephanie M Damitio, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Gulfport, Mississippi. Graduated from Louisiana State University School of Medicine in New Orleans in 2009, 17 years ago. Practices with Coastal Anesthesia Service PA, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
MS
In the registry since
2009
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

15190 Community Rd Ste 230A
Gulfport, MS 39503-3483
Phone: (228) 831-0204
Fax: (228) 831-1868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R876698 (MS)

Record details

NPI number1447585435
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 8, 2009
Last updated in NPPESNovember 4, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2009 (17 years in practice)
Group practice Coastal Anesthesia Service Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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