| NPI | 1538646773 |
|---|---|
| Former Name | STEPHANIE LAUREN FEAGANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN1058242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2321981) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-11-18 |