Short, Stephanie D

Short, Stephanie D is an individual health care provider with primary practice located at 4030 W Boy Scout Blvd Ste 800 , Tampa FL 33607-5713. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Short, Stephanie D can be contacted via phone (813) 286-0033.

Contact Information

Primary practice address
4030 W Boy Scout Blvd Ste 800 Tampa FL 33607-5713
Phone: (813) 286-0033
Fax: (813) 282-1806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN3382152 Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN3382152 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP3382152 Florida

Profile Details

NPI number 1134406705
LBN Legal business name Short, Stephanie D
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Jan 17th, 2024 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134406705 NPPES
Florida MEDICAID 004565100

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