Individual
STEPHANIE RENAE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7403
(407) 631-1000
Mailing address
9702 UNIVERSAL BLVD APT 415, ORLANDO, FL 32819-8747
(407) 487-9558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9360331
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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