Individual provider · Type 1 NPI

Stefanie Lien Berry, CPNP-AC

Pediatric Nurse Practitioner · Houston, TX

NPI number 1104597442 Active

Practice location

1919 S Braeswood Blvd Ste 5330
Houston, TX 77030-4466

Mailing address

210 E 28th St
Houston, TX 77008-2260

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1049388 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104597442

Stefanie Lien Berry, CPNP-AC's National Provider Identifier is 1104597442, issued on Sep 27, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Houston, TX. The record was last updated on Sep 27, 2021.