MEDICARE: MICHELLE STEVENSON

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	133NN1002X	Nutrition Education Nutritionist

General Provider Information

NPI Number	:	1831053230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE STEVENSON

Provider Business Mailing Address
First Line	:	207 NW 38TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-6314
Country	:	US
Telephone Number	:	239-989-6066
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 NW 38TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-6314
Country	:	US
Telephone Number	:	239-989-6066
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ MICHELLE STEVENSON ” Practice Location

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