MRS. Stephanie Thadal
NPI #1235989393 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1235989393
- Entity Type
- Individual
- Name
- MRS. Stephanie Thadal
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 22, 2024
- Last Updated
- Feb 3, 2025
Practice Location
- Address
- 1555 NW SAINT LUCIE WEST BLVD
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34986-1758
- Phone
- (772) 303-1148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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