Provider Demographics
NPI:1295342277
Name:KARKATSELOS, STELA (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:STELA
Middle Name:
Last Name:KARKATSELOS
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:MS
Other - First Name:STELA
Other - Middle Name:
Other - Last Name:NACO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30115 STATE ROAD 52 STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:FL
Mailing Address - Zip Code:33576-8243
Mailing Address - Country:US
Mailing Address - Phone:813-467-4244
Mailing Address - Fax:
Practice Address - Street 1:30115 STATE ROAD 52 STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:FL
Practice Address - Zip Code:33576-8243
Practice Address - Country:US
Practice Address - Phone:813-467-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily