Healthcare Provider Details

I. General information

NPI: 1861747149
Provider Name (Legal Business Name): STEPHANIE DIANE DEVANEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date: 04/04/2026
Reactivation Date: 05/07/2026

III. Provider practice location address

1515 N FLAGLER DR STE 430
WEST PALM BEACH FL
33401-3430
US

IV. Provider business mailing address

900 SE OCEAN BLVD SUITE 330-D
STUART FL
34994-2471
US

V. Phone/Fax

Practice location:
  • Phone: 561-659-6336
  • Fax:
Mailing address:
  • Phone: 772-419-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9180684
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: