Individual
MS. STEPHANIE VIETINGHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN AGACNP
Contact information
Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1585
(954) 735-6000
Mailing address
8551 NW 46TH CT, LAUDERHILL, FL 33351-5424
(954) 873-8760
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11001436
FL
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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