MEDICARE: SAREE NICOLE FIORAVANTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	30004684	NC
2	235Z00000X	Speech-Language Pathologist	18381	OR
3	235Z00000X	Speech-Language Pathologist	SLP013691	GA

General Provider Information

NPI Number	:	1316780729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAREE NICOLE FIORAVANTI

Provider Business Mailing Address
First Line	:	180 WATER ST APT 605
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-5369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 WAYNESVILLE PLZ # 1009
Second Line	:
City	:	WAYNESVILLE
State	:	NC
Zip	:	28786-2990
Country	:	US
Telephone Number	:	828-222-3824
Fax Number	:	828-575-5874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	12/01/2025

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Directions to “ SAREE NICOLE FIORAVANTI ” Practice Location

Language	Start Address	Practice Location

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