Provider Demographics
NPI:1881873735
Name:AUSTRIA, STEPHANIE COX (CRNA)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:COX
Last Name:AUSTRIA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NORTH ELAM AVENUE - WESLEY LONG COMMUNITY HOSPITAL
Mailing Address - Street 2:NURSE ANESTHESIA DEPARTMENT
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403
Mailing Address - Country:US
Mailing Address - Phone:336-832-1552
Mailing Address - Fax:336-832-1917
Practice Address - Street 1:501 NORTH ELAM AVENUE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403
Practice Address - Country:US
Practice Address - Phone:336-832-1552
Practice Address - Fax:336-832-1917
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC190420163W00000X
NC078281367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8053000Medicaid
2621694Medicare UPIN
NC8053000Medicaid