Provider Demographics
NPI:1982096269
Name:SHINN, STEPHANIE APRIL (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:APRIL
Last Name:SHINN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 S TAMIAMI TRL STE 205
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3555
Mailing Address - Country:US
Mailing Address - Phone:941-917-9000
Mailing Address - Fax:941-917-4930
Practice Address - Street 1:1700 S TAMIAMI TRL STE 205
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3509
Practice Address - Country:US
Practice Address - Phone:941-917-7070
Practice Address - Fax:941-917-4930
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9212803363LA2200X
FLARNP9212803363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5457954OtherAETNA
FLP01455016OtherRR MEDICARE
FL7767084OtherCIGNA
FL014504300Medicaid
FLY0QP9OtherBCBS
FLP01455016OtherRR MEDICARE