Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 112077 | NE |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 0024179051 | VA |
NPI | 1093269318 |
---|---|
Provider Name | Stephanie M Ficht |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2016 |
Last Update Date | 02/08/2021 |