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NPI Code Detail

MEDICARE: STEPHANIE SCHICKNER

MEDICARE:   STEPHANIE  SCHICKNER
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
1363LF0000XFamily Nurse Practitioner00024179742VA
2363L00000XNurse PractitionerAC003694MD

General Provider Information

NPI Number : 1265017784
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SCHICKNER
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number : 415-252-7176
Provider Business Practice Location Address
First Line : 4701 SANGAMORE RD STE S207
Second Line :
City : BETHESDA
State : MD
Zip : 20816-2529
Country : US
Telephone Number : 202-684-7167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2021
Last Update Date : 03/11/2026

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