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STEPHANIE PAIGE FARMER AIREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2825 RANDOLPH RD, CHARLOTTE, NC 28211-1018
(704) 377-1647
Mailing address
PO BOX 5615, FRESNO, CA 93755-5615
(559) 436-1000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233724
NC
367500000X
Certified Registered Nurse Anesthetist
89279
NC

Other

Enumeration date
05/06/2009
Last updated
10/28/2020
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