location
search-icon
person
Stacy Wideman
Psychiatric/Mental Health Nurse Practitioner in Doral, Florida
NPI 1386243871

Stacy Wideman is a Psychiatric/Mental Health Nurse Practitioner based in Duluth, FL and is specialized in Psychiatric/Mental Health. Stacy Wideman practices in Doral, FL. The NPI Number for Stacy Wideman is 1386243871 and holds a License No. C-RXN.0001379 (Florida).

The current practice location address for Stacy Wideman is 8450 Nw 102Nd Ave, Doral, FL and can be reached out via phone at 360-643-6562.

Location: 8450 Nw 102Nd Ave, Doral, FL, 30096-8688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386243871
Provider Name
Stacy Wideman
Credential
Provider Entity Type
Individual
Gender
Female
Address
8450 Nw 102Nd Ave, Doral, FL, 30096-8688
Phone Number
360-643-6562
Fax Number
Provider Enumeration Date
10/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8450 Nw 102Nd Ave
City
Doral
State
Florida
Zip
33178-4750
Phone Number
360-643-6562
Fax Number
person
Provider Business Mailing Address Details
Address
8450 Nw 102Nd Ave
City
Doral
State
Florida
Zip
33178-4750
Phone Number
360-643-6562
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.
C-RXN.0001379 (Colorado)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.