Individual provider · Type 1 NPI
Stephanie Sue Wanlass, AGNP-C
Adult Health Nurse Practitioner · Rocky Point, NY
NPI number
1720716988
Active
Practice location
745 Route 25A Ste A
Rocky Point, NY 11778-6603
Fax (631) 821-5721
Other practice locations
- 75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 589857 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310780 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Rocky Point
About NPI 1720716988
Stephanie Sue Wanlass, AGNP-C's National Provider Identifier is 1720716988, issued on Aug 15, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rocky Point, NY. The record was last updated on Nov 16, 2022.