Thadal, Stephanie
Thadal, Stephanie is an sole proprietor health care provider with primary practice located at 1555 Nw Saint Lucie West Blvd , Port Saint Lucie FL 34986-1758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Thadal, Stephanie can be contacted via phone (772) 303-1148.Contact Information
Primary practice address
1555 Nw Saint Lucie West Blvd
Port Saint Lucie FL 34986-1758
Phone: (772) 303-1148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 11031757 | Florida |
Profile Details
| NPI number | 1235989393 |
|---|---|
| LBN Legal business name | Thadal, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2024 |
| Last updated | Apr 12th, 2024 - about last year |
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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