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NPI Code Detail

MEDICARE: STEPHANIE MYERS NP

MEDICARE:   STEPHANIE  MYERS  NP
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 PractitionerAPRN11033810FL

General Provider Information

NPI Number : 1942049051
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MYERS NP
Provider Business Mailing Address
First Line : 19701 KELLY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34945-4710
Country : US
Telephone Number : 772-370-3649
Fax Number :
Provider Business Practice Location Address
First Line : 19701 KELLY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34945-4710
Country : US
Telephone Number : 772-370-3649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 12/09/2025

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