Stephanie Katherine Lastra, PMHNP
NPI #1215702766 in Fuquay Varina, North Carolina
Provider Information
- NPI Number
- 1215702766
- Entity Type
- Individual
- Name
- Stephanie Katherine Lastra, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP
- Enumeration Date
- Nov 15, 2023
- Last Updated
- Jan 30, 2024
Practice Location
- Address
- 201 E ACADEMY ST
- City
- Fuquay Varina
- State
- North Carolina
- ZIP Code
- 27526-2248
- Phone
- (910) 390-0363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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