Healthcare Provider Details

I. General information

NPI: 1427000835
Provider Name (Legal Business Name): STEPHANIE J PARSONS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 CREEKSIDE BLVD
NAPLES FL
34108-1931
US

IV. Provider business mailing address

7073 TIMBERLAND CIR
NAPLES FL
34109-7837
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-1158
  • Fax: 239-261-4232
Mailing address:
  • Phone: 239-450-7166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP 9163182
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: