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NPI Code Detail

MEDICARE: MICHELE MARIA STEVANOVICH FNP-C

MEDICARE:   MICHELE MARIA STEVANOVICH  FNP-C
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
1363LF0000XFamily Nurse Practitioner890948NV

General Provider Information

NPI Number : 1114813417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE MARIA STEVANOVICH FNP-C
Provider Business Mailing Address
First Line : 1160 DAMONTE RANCH PKWY UNIT 1168
Second Line :
City : RENO
State : NV
Zip : 89521-4547
Country : US
Telephone Number : 775-224-5172
Fax Number :
Provider Business Practice Location Address
First Line : 4095 N CARSON ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-1936
Country : US
Telephone Number : 775-224-5172
Fax Number : 775-885-2785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 02/17/2026

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Directions to “ MICHELE MARIA STEVANOVICH FNP-C” Practice Location

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