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NPI Code Detail

MEDICARE: MICHAEL A STEFONETTI CRNA

MEDICARE: MICHAEL A STEFONETTI CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN250024LPA

General Provider Information

NPI Number : 1760488381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A STEFONETTI CRNA
Provider Business Mailing Address
First Line : 517 ASH ST
Second Line : STE 1
City : SCRANTON
State : PA
Zip : 18509-2903
Country : US
Telephone Number : 570-969-6100
Fax Number : 570-983-0267
Provider Business Practice Location Address
First Line : 517 ASH ST
Second Line : STE 1
City : SCRANTON
State : PA
Zip : 18509-2903
Country : US
Telephone Number : 570-969-6100
Fax Number : 570-983-0267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 08/31/2009

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Directions to “ MICHAEL A STEFONETTI CRNA” Practice Location

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