Provider Demographics
NPI:1245383652
Name:CLINE, STEPHANIE YAU (APRN, WHNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:YAU
Last Name:CLINE
Suffix:
Gender:F
Credentials:APRN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 W POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2537
Mailing Address - Country:US
Mailing Address - Phone:901-861-2348
Mailing Address - Fax:901-861-2621
Practice Address - Street 1:569 W POPLAR AVE
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2537
Practice Address - Country:US
Practice Address - Phone:901-861-2348
Practice Address - Fax:901-861-2621
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7786174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist