Provider Demographics
NPI:1215432372
Name:NOFAL, STEPHANIE B (DNP)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:B
Last Name:NOFAL
Suffix:
Gender:F
Credentials:DNP
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Mailing Address - Street 1:280 EXECUTIVE PARK DR STE 160
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1841
Mailing Address - Country:US
Mailing Address - Phone:704-933-3212
Mailing Address - Fax:
Practice Address - Street 1:280 EXECUTIVE PARK DR STE 160
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025
Practice Address - Country:US
Practice Address - Phone:704-933-3212
Practice Address - Fax:704-933-3221
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5010292363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health