Nourollah, Stephanie Renae

Nourollah, Stephanie Renae is an individual health care provider with primary practice located at 10701 W Research Dr , Wauwatosa WI 53226-3452. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nourollah, Stephanie Renae can be contacted via phone (866) 574-7135.

Contact Information

Primary practice address
10701 W Research Dr Wauwatosa WI 53226-3452
Phone: (866) 574-7135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 178574-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8277-33 Wisconsin

Profile Details

NPI number 1255830048
LBN Legal business name Nourollah, Stephanie Renae
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2018
Last updated Mar 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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