Fardal, Stephanie Anne

Fardal, Stephanie Anne is an individual health care provider with primary practice located at 1025 Se Tallgrass Ln Ste 220 , Waukee IA 50263-6817. 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. Fardal, Stephanie Anne can be contacted via phone (515) 875-9290.

Contact Information

Primary practice address
1025 Se Tallgrass Ln Ste 220 Waukee IA 50263-6817
Phone: (515) 875-9290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A173477 Iowa

Profile Details

NPI number 1952001505
LBN Legal business name Fardal, Stephanie Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2023
Last updated Jun 13th, 2024 - about last year

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.

Request for update

Popular Providers