Individual
TARA MAREE STEGALL SHUMARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-3398
Mailing address
PO BOX 32861, ANESTHESIA SVCS - 5TH FLOOR SURGERY TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
90754
SC
163W00000X
Registered Nurse
RN182568
GA
367500000X
Certified Registered Nurse Anesthetist
078476
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
1456
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187410
NC RN LICENSE
NC
05
—
8053252
—
NC
05
—
NAN830
—
SC
Enumeration date
12/10/2007
Last updated
08/22/2025
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