Individual provider · Type 1 NPI

Stephanie Thadal

Psychiatric/Mental Health Nurse Practitioner · Davie, FL

NPI number 1235989393 Active

Practice location

5595 S University Dr
Davie, FL 33328-5307

Fax (954) 965-6444

Mailing address

2900 Corporate Way
Miramar, FL 33025-3925

Other practice locations

  • 13101 40th Rd Apt 15C, Flushing, NY 11354-5245 · (954) 417-5985

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X406512 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11031757 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

18 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Davie

See all in Davie →

About NPI 1235989393

Stephanie Thadal's National Provider Identifier is 1235989393, issued on Mar 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Davie, FL. The record was last updated on Nov 2, 2026.