Provider Demographics
NPI:1639758923
Name:EHRLEIN, STEFANIE LAUREN (AGPCNP-BC, RN)
Entity Type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:LAUREN
Last Name:EHRLEIN
Suffix:
Gender:F
Credentials:AGPCNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:5499 NESCONSET HWY
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2063
Mailing Address - Country:US
Mailing Address - Phone:631-928-2600
Mailing Address - Fax:
Practice Address - Street 1:5499 NESCONSET HWY
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2063
Practice Address - Country:US
Practice Address - Phone:631-928-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY558789163W00000X
NY309719363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse