Healthcare Provider Details

I. General information

NPI: 1508559055
Provider Name (Legal Business Name): STEPHANIE ANN OPRANDI AGACNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 SW 108TH ST
MIAMI FL
33176-3531
US

IV. Provider business mailing address

10240 SW 108TH ST
MIAMI FL
33176-3531
US

V. Phone/Fax

Practice location:
  • Phone: 786-586-0823
  • Fax:
Mailing address:
  • Phone: 786-586-0823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11025434
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: