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Individual

JEANA M SANTOSTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-545749
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
25918
SC
367500000X
Certified Registered Nurse Anesthetist
88814
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027810180001
PA
01
12296970
CAQH
PA
01
154820
GEISINGER
PA
01
1600126
GATEWAY
PA
01
2668838
FRIST PRIORITY
PA
01
3864014000
IND. BLUE CROSS
PA
01
50103563
CAPITAL ADVANTAGE
PA
01
9404844
AETNA
PA
01
P01010715
RAILROAD MEDICARE
PA
Enumeration date
09/14/2011
Last updated
08/23/2024
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