Individual
JOAN PACE KANZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 713-2755
(336) 713-0660
Mailing address
1349 PHEASANT LANE, WINSTON SALEM, NC 27106
(336) 923-8179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138484
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051697
—
NC
Enumeration date
12/21/2005
Last updated
03/20/2017
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