Individual
MARTHA SCHELL SOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3069
Mailing address
4488 LOCHURST DR, PFAFFTOWN, NC 27040-9495
(336) 922-6795
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135466
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051556
—
NC
Enumeration date
11/14/2005
Last updated
08/29/2007
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