Stephanie Thadal

NPI # 

Practice Address:

1555 Nw Saint Lucie West Blvd

Port Saint Lucie, FL, 34986-1758

Practice Phone:

772-303-1148

License Number:

406512

License State:

NY

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X

Updated by NPPES on 2/3/2025. You can view the original data set for NPI # 1235989393 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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