Individual
MRS. NANCY IRENE FALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
145 KIMEL PARK DR, SUITE 330, WINSTON SALEM, NC 27103-6984
(336) 765-6181
(336) 765-8492
Mailing address
145 KIMEL PARK DR, SUITE 330, WINSTON SALEM, NC 27103-6984
(336) 765-6181
(336) 765-8492
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
9401402
NC
208VP0000X
Pain Medicine Physician
9401402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05609128
AETNA
NC
01
—
13736
BLUE CROSS & BLUE SHIELD
NC
05
—
8931096
—
NC
01
—
D8837
MEDCOST
NC
Enumeration date
04/20/2006
Last updated
09/09/2020
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