Stacy Wideman is a Doral, Florida based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Stacy Wideman is APRN11012260 for Psych/Mental Health in Florida. Her current practice location is 8450 Nw 102nd Ave, Doral. Patients can reach her at 360-643-6562 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1386243871. Stacy Wideman provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Stacy Wideman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1386243871
NPI Enumeration Date:
26 Oct, 2020
NPI Last Update On:
01 Mar, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Wideman are as mentioned below.
License Number
Specialization
State
Status
APRN11012260
Psych/Mental Health
Florida
Primary
C-RXN.0001379
Psych/Mental Health
Colorado
Secondary
APRN61166084-NP
Psych/Mental Health
Washington
Secondary
RN225736
Psych/Mental Health
Georgia
Secondary
202104630NP-PP
Psych/Mental Health
Oregon
Secondary
9501782
Psych/Mental Health
California
Secondary
1071418
Psych/Mental Health
Texas
Secondary
G168450
Psych/Mental Health
Iowa
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.