Individual provider · Type 1 NPI

Stephanie A. Verderame, APRN

Gerontology Nurse Practitioner · Rockford, IL

NPI number 1730856840 Active

Practice location

1340 Charles St Ste 400
Rockford, IL 61104-2200

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Other practice locations

  • 5 Munson Rd, Farmington, CT 06032-2094 · (860) 679-6551

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209-023883 (IL)
Gerontology Nurse Practitioner 363LG0600X209-023883 (IL)
Gerontology Nurse Practitioner Primary 363LG0600X016141 (CT)

Gerontology Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1730856840

Stephanie A. Verderame, APRN's National Provider Identifier is 1730856840, issued on Aug 26, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rockford, IL. The record was last updated on Jun 16, 2026.