person
Stephanie Anne Modert, DO
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1609514249

Stephanie Anne Modert is a Student in an Organized Health Care Education/Training Program based in Mount Vernon, TN. Stephanie Anne Modert practices in Memphis, TN and has the professional credentials of DO. The NPI Number for Stephanie Anne Modert is 1609514249 and holds a License No. (Tennessee).

The current practice location address for Stephanie Anne Modert is 920 Madison Ave # 447, Memphis, TN and can be reached out via phone at 901-448-5814 and via fax at 901-448-6182.

Location: 920 Madison Ave # 447, Memphis, TN, 62864-2740
person
Provider Profile Details
NPI Number
1609514249
Provider Name
Stephanie Anne Modert
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
920 Madison Ave # 447, Memphis, TN, 62864-2740
Phone Number
901-448-5814
Fax Number
901-448-6182
Provider Enumeration Date
05/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 Madison Ave # 447
City
State
Zip
38103-3438
Phone Number
901-448-5814
Fax Number
901-448-6182
person
Provider Business Mailing Address Details
Address
920 Madison Ave # 447
City
State
Zip
38103-3438
Phone Number
901-448-5814
Fax Number
901-448-6182
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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