Individual
ALLA STEPANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9970 CENTRAL PARK BLVD N, BOCA RATON, FL 33428-2231
(561) 430-3599
Mailing address
9970 CENTRAL PARK BLVD N, BOCA RATON, FL 33428-2231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9299370
FL
363LF0000X
Family Nurse Practitioner
Primary
9299370
FL
363LP2300X
Primary Care Nurse Practitioner
9299370
FL
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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