Individual provider · Type 1 NPI

Stephanie Vicchiarelli, AGNP-C

Adult Health Nurse Practitioner · West Islip, NY

NPI number 1104226661 Active

Practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	310861 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1104226661

Stephanie Vicchiarelli, AGNP-C's National Provider Identifier is 1104226661, issued on Sep 2, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in West Islip, NY. The record was last updated on Aug 22, 2022.