Provider Demographics
NPI:1699204693
Name:STEPHANIEDELBERT,ARNP,INC
Entity Type:Organization
Organization Name:STEPHANIEDELBERT,ARNP,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELBERT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:863-659-1079
Mailing Address - Street 1:PO BOX 2489
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:FL
Mailing Address - Zip Code:33862-2489
Mailing Address - Country:US
Mailing Address - Phone:863-659-1079
Mailing Address - Fax:863-659-1317
Practice Address - Street 1:13 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:FL
Practice Address - Zip Code:33852
Practice Address - Country:US
Practice Address - Phone:863-659-1079
Practice Address - Fax:863-659-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty