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Individual
STEPHANIE ANN SHORT
Active
Individual
STEPHANIE ANN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
1128589
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012415
KY
Other
Enumeration date
12/04/2014
Last updated
03/08/2024
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