person
Stephanie Katherine Lastra, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Fuquay Varina, North Carolina
NPI 1215702766

Stephanie Katherine Lastra is a Psychiatric/Mental Health Nurse Practitioner based in Fuquay Varina, NC and is specialized in Psychiatric/Mental Health. Stephanie Katherine Lastra practices in Fuquay Varina, NC and has the professional credentials of PMHNP. The NPI Number for Stephanie Katherine Lastra is 1215702766 and holds a License No. 5019168 (North Carolina).

The current practice location address for Stephanie Katherine Lastra is 201 E Academy St, Fuquay Varina, NC and can be reached out via phone at 910-390-0363 and via fax at 315-496-7529.

Location: 201 E Academy St, Fuquay Varina, NC, 27526-2248
person
Provider Profile Details
NPI Number
1215702766
Provider Name
Stephanie Katherine Lastra
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
201 E Academy St, Fuquay Varina, NC, 27526-2248
Phone Number
910-390-0363
Fax Number
315-496-7529
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 E Academy St
City
State
Zip
27526-2248
Phone Number
910-390-0363
Fax Number
315-496-7529
person
Provider Business Mailing Address Details
Address
201 E Academy St
City
State
Zip
27526-2248
Phone Number
910-390-0363
Fax Number
315-496-7529
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
5019168 (North Carolina)
Definition
Definition to come...
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