Short, Stephanie Ann
Short, Stephanie Ann is an individual health care provider with primary practice located at 1907 E Pittsburg Church Rd , London KY 40741-9047. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Administrator. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Short, Stephanie Ann can be contacted via phone (606) 389-5269.Contact Information
Primary practice address
1907 E Pittsburg Church Rd
London KY 40741-9047
Phone: (606) 389-5269
Fax: (606) 389-5276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3012415 | Kentucky |
| Nursing Service Providers / Administrator | 163WA2000X | 1128589 | Kentucky |
Profile Details
| NPI number | 1154728251 |
|---|---|
| LBN Legal business name | Short, Stephanie Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2014 |
| Last updated | Mar 8th, 2024 - about 6 months 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 | 1154728251 | NPPES |
| Kentucky | MEDICAID | 7100549240 |
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