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Individual
SUZANNA MYALIK STEFOGLO
Active
Individual
SUZANNA MYALIK STEFOGLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
285165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285165
NC LICENSE NUMBER, ISSUED BY NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
08/15/2019
Last updated
10/28/2020
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