Provider Demographics
NPI:1508361619
Name:STEFANO, SOPHIA ELIZABETH LEE (APRN)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:ELIZABETH LEE
Last Name:STEFANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7013 S TAMIAMI TRAIL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231
Mailing Address - Country:US
Mailing Address - Phone:941-870-4440
Mailing Address - Fax:941-870-2568
Practice Address - Street 1:7013 S TAMIAMI TRAIL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231
Practice Address - Country:US
Practice Address - Phone:941-870-4440
Practice Address - Fax:941-870-2568
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9390520363LF0000X
NVAPRN002827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily