Stephanie Lynn Ethridge, is a
Licensed Vocational Nurse based in Hubbard, Texas. Stephanie Lynn Ethridge is licensed to practice in Texas (license number 123840) and her current practice location is
801 Nw 2nd St, Hubbard, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 644-3252.
NPI number for Stephanie Lynn Ethridge is 1184269672 and her current mailing address is 801 Nw 2nd St, Hubbard, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184269672.
Provider's Profile
| Full Name | Stephanie Lynn Ethridge |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 801 Nw 2nd St, Hubbard, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184269672
- Provider Enumeration Date: 11/08/2019
- Last Update Date: 11/08/2019
Medical Identifiers
Medical identifiers for Stephanie Lynn Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184269672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 123840 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Lynn Ethridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie Lynn Ethridge,
801 Nw 2nd St,
Hubbard, TX 76648-2302
Ph: () - | Stephanie Lynn Ethridge,
801 Nw 2nd St,
Hubbard, TX 76648-2302
Ph: (254) 644-3252 |
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