Individual
STACIE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1000 CENTRAL AVE APT 446, CHARLOTTE, NC 28204-2290
(717) 779-7756
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
294576
NC
Other
Enumeration date
12/28/2019
Last updated
08/01/2025
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