Healthcare Provider Details

I. General information

NPI: 1790384162
Provider Name (Legal Business Name): AMY STABILE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2020
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S KANNER HWY
STUART FL
34994-4801
US

IV. Provider business mailing address

3801 S KANNER HWY
STUART FL
34994-4801
US

V. Phone/Fax

Practice location:
  • Phone: 772-419-3900
  • Fax:
Mailing address:
  • Phone: 772-223-4999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11007888
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: