Brader, Stephanie M

Brader, Stephanie M is an individual health care provider with primary practice located at 300 Polaris Pkwy Ste 3000 , Westerville OH 43082-7994. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brader, Stephanie M can be contacted via phone (614) 533-3354.

Contact Information

Primary practice address
300 Polaris Pkwy Ste 3000 Westerville OH 43082-7994
Phone: (614) 533-3354
Fax: (614) 533-3496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-13502 Ohio

Profile Details

NPI number 1154666964
LBN Legal business name Brader, Stephanie M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Jun 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154666964 NPPES
Ohio MEDICAID 0076743

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