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Stephanie Thadal
Psychiatric/Mental Health Nurse Practitioner in Hollywood, Florida
NPI 1235989393

Stephanie Thadal is a Psychiatric/Mental Health Nurse Practitioner based in Port Saint Lucie, FL and is specialized in Psychiatric/Mental Health. Stephanie Thadal practices in Hollywood, FL. The NPI Number for Stephanie Thadal is 1235989393 and holds a License No. 11031757 (Florida).

The current practice location address for Stephanie Thadal is 2420 N 61St Ave, Hollywood, FL and can be reached out via phone at 786-236-8237.

Location: 2420 N 61St Ave, Hollywood, FL, 34986-1758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235989393
Provider Name
Stephanie Thadal
Credential
Provider Entity Type
Individual
Gender
Female
Address
2420 N 61St Ave, Hollywood, FL, 34986-1758
Phone Number
786-236-8237
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2420 N 61St Ave
City
Hollywood
State
Florida
Zip
33024-4212
Phone Number
786-236-8237
Fax Number
person
Provider Business Mailing Address Details
Address
2420 N 61St Ave
City
Hollywood
State
Florida
Zip
33024-4212
Phone Number
786-236-8237
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
11031757 (Florida)
Definition
Definition to come...
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