Individual
MISS TRACEY LEANNE STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103
(336) 768-3212
(336) 768-9019
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
(336) 768-9019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R870831
MS
367500000X
Certified Registered Nurse Anesthetist
17012
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
90093
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04351704
—
MS
01
—
1144581380
CHAMPUS/TRICARE
TN
05
—
12481762
—
TN
05
—
195149001
—
AR
01
—
4335814
BCBST
TN
01
—
P01117552
MEDICARE RAILROAD
TN
Enumeration date
06/05/2012
Last updated
03/18/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us