Doctor Name: | STEPHANIE FIORE |
NPI Number: | 1104256890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 23290 |
Business Practice Address: | 1881 Nani St Wailuku, HI - 967931811 |
Business Phone Number: | 8088724055 |
Business Fax Number: | 8088724029 |
Mailing Address: | 1881 Nani St, WAILUKU |
State: | HI |
Postal Code: | 967931811 |
Phone Number: | 8088724055 |
Fax Number: | 8088724029 |
NPI Enumeration Date: | 11/18/2013 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 23290 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |