Individual
STEPHANIE NICOLE WOLTERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
92 SYLVAN AVE, MILLER PLACE, NY 11764-2229
(631) 872-4178
Mailing address
92 SYLVAN AVE, MILLER PLACE, NY 11764-2229
(631) 872-4178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720002
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
7380
NC
367500000X
Certified Registered Nurse Anesthetist
APN.0998673CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
APRN11028526
FL
Other
Enumeration date
06/12/2019
Last updated
02/27/2024
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