Wiafe, Stephanie C

Wiafe, Stephanie C is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wiafe, Stephanie C can be contacted via phone (508) 334-3452.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655
Phone: (508) 334-3452
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN204685 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 204685 Massachusetts

Profile Details

NPI number 1407824873
LBN Legal business name Wiafe, Stephanie C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 21st, 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 1407824873 NPPES
Massachusetts MEDICAID 110025351A
Massachusetts MEDICAID 0798819

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