Individual
KRISTINA STANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3320 WAKE FOREST RD STE 450, RALEIGH, NC 27609
(919) 790-1717
(919) 926-1663
Mailing address
3320 WAKE FOREST RD STE 450, RALEIGH, NC 27609-7300
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-06546
NC
Other
Enumeration date
05/19/2016
Last updated
05/17/2018
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