STACIE QUEDENFELD

ORLANDO, FL
NPI1407410970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11002198)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  11002198)
Enumeration Date2019-04-30
Last Update Date2024-10-14
Business Address
STACIE QUEDENFELD APRN
12301 LAKE UNDERHILL RD STE 215
ORLANDO, FL 32828-4511
Phone number: 321-235-0692
Mailing Address
STACIE QUEDENFELD APRN
7620 LAKE UNDERHILL RD
ORLANDO, FL 32822-8223
Phone number: 321-235-0692