Provider Demographics
NPI:1194957654
Name:BIEBER, STEPHANIE (ARNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:BIEBER
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:BIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:718 YEARLING TRL
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-4868
Mailing Address - Country:US
Mailing Address - Phone:772-538-9691
Mailing Address - Fax:321-434-1796
Practice Address - Street 1:5070 HIGHWAY A1A STE A
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-1229
Practice Address - Country:US
Practice Address - Phone:772-234-3700
Practice Address - Fax:772-234-3770
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3385952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001461200Medicaid