Stefan, Mary V

Stefan, Mary V is an individual health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. 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. Stefan, Mary V can be contacted via phone (941) 917-2342.

Contact Information

Primary practice address
1700 S Tamiami Trl Sarasota FL 34239-3509
Phone: (941) 917-2342
Fax: (941) 917-4178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1765641 Florida

Profile Details

NPI number 1083663421
LBN Legal business name Stefan, Mary V
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jun 20th, 2014 - about 10 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 1083663421 NPPES
Florida Other Y01EY BCBS
Florida MEDICAID 307579600 BCBS

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