Individual
PATRICIA A STAWAISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7000
Mailing address
1 INDEPENDENCE PT, STE. 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1342
SC
367500000X
Certified Registered Nurse Anesthetist
RN271689L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1949
—
SC
01
—
P01070203
RAILROAD MEDICARE
—
Enumeration date
06/09/2005
Last updated
04/18/2014
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