Individual
ROSE ANN STABILE-SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
150702
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014MR
NC BCBS GROUP BILLING #
NC
05
—
8051346
—
NC
Enumeration date
07/25/2006
Last updated
07/09/2007
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