| NPI | 1295976777 |
|---|---|
| Professional Name | STEPHANIE NICOLE CONDODEMETRAKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 055471-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 055471-21) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2021-04-09 |