1881873735 NPI number — MRS. STEPHANIE COX AUSTRIA CRNA

Table of content: MRS. STEPHANIE COX AUSTRIA CRNA (NPI 1881873735)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881873735 NPI number — MRS. STEPHANIE COX AUSTRIA CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AUSTRIA
Provider First Name:
STEPHANIE
Provider Middle Name:
COX
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881873735
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 NORTH ELAM AVENUE - WESLEY LONG COMMUNITY HOSPITAL
Provider Second Line Business Mailing Address:
NURSE ANESTHESIA DEPARTMENT
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-832-1552
Provider Business Mailing Address Fax Number:
336-832-1917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 NORTH ELAM AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-832-1552
Provider Business Practice Location Address Fax Number:
336-832-1917
Provider Enumeration Date:
10/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  190420 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X , with the licence number: 078281 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8053000 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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