Moore, Stephanie Angela

Moore, Stephanie Angela is an sole proprietor health care provider with primary practice located at 9320 State Road 54 , Trinity FL 34655-1808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moore, Stephanie Angela can be contacted via phone (727) 493-2513.

Contact Information

Primary practice address
9320 State Road 54 Trinity FL 34655-1808
Phone: (727) 493-2513
Fax: (877) 917-2336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11006617 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11006617 Florida

Profile Details

NPI number 1689299265
LBN Legal business name Moore, Stephanie Angela
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2020
Last updated Jul 20th, 2022 - about 2 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 1689299265 NPPES
Florida MEDICAID 114607800

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