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NPI Code Detail

MEDICARE: MISS STELLA LEVIYEVA ARNP

MEDICARE: MISS STELLA LEVIYEVA ARNP
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
1363L00000XNurse Practitioner3029592FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922140094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS STELLA LEVIYEVA ARNP
Provider Business Mailing Address
First Line : 3301 QUANTUM BLVD
Second Line :
City : BOYTON BEACH
State : FL
Zip : 33246-2874
Country : US
Telephone Number : 954-559-8699
Fax Number :
Provider Business Practice Location Address
First Line : 3301 QUANTUM BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8668
Country : US
Telephone Number : 561-836-1610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 04/09/2025

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Directions to “ MISS STELLA LEVIYEVA ARNP” Practice Location

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