Individual
KARYN STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103
(336) 768-3212
(336) 768-9019
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
(336) 768-9019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
41964
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP3070762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01166019
R&R MEDICARE
FL
Enumeration date
08/17/2006
Last updated
03/18/2019
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