Healthcare Provider Details

I. General information

NPI: 1922140094
Provider Name (Legal Business Name): STELLA LEVIYEVA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 QUANTUM BLVD
BOYNTON BEACH FL
33426-8668
US

IV. Provider business mailing address

3301 QUANTUM BLVD
BOYTON BEACH FL
33246-2874
US

V. Phone/Fax

Practice location:
  • Phone: 561-836-1610
  • Fax:
Mailing address:
  • Phone: 954-559-8699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number351362
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13761
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15494400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3029592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: