| Doctor Name: | ANI STEPHEN |
| NPI Number: | 1588959118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | ARNP 9230846 |
| Business Practice Address: | 545 Se 12th St Apt#104 Dania Beach, FL - 330044665 |
| Business Phone Number: | 9548036106 |
| Business Fax Number: | |
| Mailing Address: | 545 Se 12th St, Apt#104 DANIA BEACH |
| State: | FL |
| Postal Code: | 330044665 |
| Phone Number: | 9548036106 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2011 |
| NPI Last Update Date: | 03/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 9230846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |