Individual provider · Type 1 NPI
Amy R. Stroup, LPN, LMT, FACIALIST
Other Technician · Fort Lauderdale, FL
NPI number
1508131178
Active
Practice location
5460 N State Road 7 Ste 217
Fort Lauderdale, FL 33319-2969
Mailing address
9124 NW 35th Pl
Sunrise, FL 33351-6400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN0547061 (FL) |
| Other Technician Primary | 247200000X | MA29603 (FL) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1508131178
Amy R. Stroup, LPN, LMT, FACIALIST's National Provider Identifier is 1508131178, issued on Mar 15, 2012. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Mar 15, 2012.