MEDICARE: STEPHANIE MATHEWS ARNP

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	163W00000X	Registered Nurse	ARNP9194741	FL
2	363LF0000X	Family Nurse Practitioner	APRN9194741	FL
3	363L00000X	Nurse Practitioner	APRN9194741	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP9194741	OTHER	FL	LICENSE NUMBER

General Provider Information

NPI Number	:	1255588794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MATHEWS ARNP

Provider Business Mailing Address
First Line	:	9010 STRADA STELL CT
Second Line	:	SUITE 203
City	:	NAPLES
State	:	FL
Zip	:	34109-4424
Country	:	US
Telephone Number	:	239-254-1316
Fax Number	:

Provider Business Practice Location Address
First Line	:	9010 STRADA STELL CT
Second Line	:	SUITE 203
City	:	NAPLES
State	:	FL
Zip	:	34109-4424
Country	:	US
Telephone Number	:	239-254-1316
Fax Number	:

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

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	03/03/2026

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