Provider Demographics
NPI:1891779229
Name:ALDAY, STEPHEN RICHARD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:RICHARD
Last Name:ALDAY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:MR
Other - First Name:STEPHEN
Other - Middle Name:RICHARD
Other - Last Name:ALDAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:2525 N BEECH LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1277
Mailing Address - Country:US
Mailing Address - Phone:336-288-3406
Mailing Address - Fax:
Practice Address - Street 1:2525 N BEECH LN
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-1277
Practice Address - Country:US
Practice Address - Phone:336-288-3406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC196262367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8052267Medicaid
NC2608769AMedicare PIN