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General NPI Number Information
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NPI Number | 1689666182
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Entity Type | Individual
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Provider Name | STEPHENIE MAUD WRIGHT CNM
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Gender | Female
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 1600 S ANDREWS AVE SUITE 323 WEST WING
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-2510
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Country | US
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Telephone | 954-355-5110
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Fax | 954-355-4919
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Provider Business Mailing Address
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Address Line | 1501 NW 49TH ST SUITE 140
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3723
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Country | US
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Telephone | 954-714-6351
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP907562
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License Number State | FL
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