Mcdermott, Stephanie Ann
Mcdermott, Stephanie Ann is an individual health care provider with primary practice located at 1900 Don Wickham Dr , Clermont FL 34711. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mcdermott, Stephanie Ann can be contacted via phone (352) 536-8840.Contact Information
Primary practice address
1900 Don Wickham Dr
Clermont FL 34711
Phone: (352) 536-8840
Fax: (352) 536-8841
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2876412 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP2876412 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN2876412 | Florida |
Profile Details
NPI number | 1962691717 |
---|---|
LBN Legal business name | Mcdermott, Stephanie Ann |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2007 |
Last updated | Dec 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962691717 | NPPES |
Florida | Other | ARNP2876412 | STATE |
Florida | MEDICAID | 308929100 | STATE |
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