Individual
MRS. STEPHANIE N WHITENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
170 COUNTY ROAD 2756, MICO, TX 78056-5374
(210) 275-9234
Mailing address
170 COUNTY ROAD 2756, MICO, TX 78056-5374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
737860
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP131671
TX
Other
Enumeration date
08/30/2016
Last updated
03/31/2026
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