Healthcare Provider Details

I. General information

NPI: 1124422480
Provider Name (Legal Business Name): RONNIKA LASHAWN STEWART ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15333 N PIMA RD # 312
SCOTTSDALE AZ
85260-2783
US

IV. Provider business mailing address

111 N ORANGE AVE STE 800
ORLANDO FL
32801-2381
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax: 888-732-8119
Mailing address:
  • Phone: 888-731-8994
  • Fax: 888-732-8119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP9401363
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9401363
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: