Stephanie D. Myracle
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
16 Medical Park Drive
Asheville
, North Carolina 28803
Stephanie D. Myracle
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
16 Medical Park Drive
Asheville
, North Carolina 28803
(828) 274-6868
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Stephanie D. Myracle
- 16 Medical Park Drive
- Asheville, NC
- Zip : 28803
- Fax : (828) 274-6868
- Phone : (828) 274-4880
Second Address
- Stephanie D. Myracle
- 16 Medical Park Drive
- Asheville, NC
- Zip : 28803
- Fax : (828) 274-6868
- Phone : (828) 274-4880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 2007-01974 | NC |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 2007-01974 | NC |
| N | 207NS0135X | Procedural Dermatology | 2007-01974 | NC |
National Provider Identifier
| NPI | 1447453402 |
|---|---|
| Provider Name | Stephanie D. Myracle |
| First Address | Asheville, NC 28803 |
| Second Address | Asheville, NC 28803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2007 |
| Last Update Date | 25/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5918699 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.