Stephanie Anne Fardal

NPI #1952001505 in Waukee, Iowa

Provider Information

NPI Number: 1952001505
Entity Type: Individual
Name: Stephanie Anne Fardal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 2, 2023
Last Updated: Oct 15, 2024

Practice Location

Address: 1025 SE TALLGRASS LN STE 220
City: Waukee
State: Iowa
ZIP Code: 50263-6817
Phone: (515) 875-9290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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