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NPI Code Detail

MEDICARE: STEPHANIE MICHELLE NEIMAN WHNP-BC

MEDICARE: STEPHANIE MICHELLE NEIMAN WHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner745234TX

General Provider Information

NPI Number : 1114237039
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MICHELLE NEIMAN WHNP-BC
Provider Business Mailing Address
First Line : 7424 GREENVILLE AVE
Second Line : STE 206
City : DALLAS
State : TX
Zip : 75231-4552
Country : US
Telephone Number : 214-363-2004
Fax Number : 214-378-7483
Provider Business Practice Location Address
First Line : 7424 GREENVILLE AVE
Second Line : STE 206
City : DALLAS
State : TX
Zip : 75231-4552
Country : US
Telephone Number : 214-363-2004
Fax Number : 214-378-7483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2010
Last Update Date : 10/13/2010

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