Individual
STEPHANIE D SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
4030 W BOY SCOUT BLVD STE 800, TAMPA, FL 33607-5713
(813) 286-0033
(813) 282-1806
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN3382152
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN3382152
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP3382152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004565100
—
FL
Enumeration date
11/10/2011
Last updated
01/17/2024
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