Stephanie Mouy Ear, RN

Individual provider Active NPI Registered Nurse · Bunnell, FL

NPI 1518715218 · NPPES record last updated May 8, 2024

Key facts

NPI
1518715218
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN9263499 (FL)
Practice address
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Phone
(386) 931-6019
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9263499FLMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9263499 FL Yes

Addresses

Primary practice location

301 Dr Carter Blvd
Bunnell, FL 32110-6212

Mailing address

301 Dr Carter Blvd
Bunnell, FL 32110-6212

Other providers in Bunnell, FL

All providers in Bunnell, FL · Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.