Healthcare Provider Details

I. General information

NPI: 1962860809
Provider Name (Legal Business Name): ZHANNA STEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2016
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CAPITAL WAY
PENNINGTON NJ
08534-2520
US

IV. Provider business mailing address

350 STATE RD
PRINCETON NJ
08540-1406
US

V. Phone/Fax

Practice location:
  • Phone: 267-210-3158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN632808
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NJ01038500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: