MEDICARE: ANGELIKA STIEREN M.S.CCC-A

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
1	231H00000X	Audiologist	AY221	FL
2	237600000X	Audiologist-Hearing Aid Fitter	AY221	FL

General Provider Information

NPI Number	:	1144608803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIKA STIEREN M.S.CCC-A

Provider Business Mailing Address
First Line	:	2866 WILDWOOD DR
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-3226
Country	:	US
Telephone Number	:	727-415-0253
Fax Number	:

Provider Business Practice Location Address
First Line	:	9156 SEMINOLE BLVD
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-3148
Country	:	US
Telephone Number	:	727-393-3775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2015
Last Update Date	:	05/14/2015

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