Individual
MRS. STEPHANIE BROWN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-8000
Mailing address
1639 BARNES HILL CHURCH RD, NASHVILLE, NC 27856-8868
(252) 578-8030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258993
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
119007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119007
NBCRNA
NC
01
—
258993
NCBON
NC
Enumeration date
08/24/2018
Last updated
08/24/2018
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