Individual provider · Type 1 NPI

Stacy Tennille Wong, CRNA

Certified Registered Nurse Anesthetist · Stanford, CA

NPI number 1063908317 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Other practice locations

  • 521 Parnassus Ave, San Francisco, CA 94143-2206 · (415) 514-3785
  • 1275 York Ave, New York, NY 10065-6007 · (626) 272-6042

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X95002044 (CA)
Registered Nurse 163W00000X762032 (CA)
Certified Registered Nurse Anesthetist Primary 367500000XCRNA95002044 (CA)
Critical Care Medicine Registered Nurse 163WC0200X730127-1 (NY)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1063908317

Stacy Tennille Wong, CRNA's National Provider Identifier is 1063908317, issued on Jul 10, 2018. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Stanford, CA. The record was last updated on Jul 13, 2026.