Individual
GISELA ERNESTINE STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
744 AIRPORT RD, KINSTON, NC 28504-8800
(252) 523-0026
(252) 523-1855
Mailing address
744 AIRPORT RD, KINSTON, NC 28504-8800
(252) 523-0026
(252) 523-1855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
065962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326
MEDICARE GROUP PTAN
NC
01
—
14767405431
GROUP NPI
NC
01
—
1740460492
INVIDUAL NPI
NC
01
—
560989277
GROUPTAX ID
NC
01
—
5908296
EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR BEULAVILLE
NC
01
—
8901960
GROUP MEDICAID
NC
Enumeration date
11/10/2007
Last updated
06/29/2010
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