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NPI Code Detail

MEDICARE: NATESHA OCTAVIA STEVENSON APRN-BC

MEDICARE: NATESHA OCTAVIA STEVENSON APRN-BC
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 PractitionerAPRN11003927FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285285619
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATESHA OCTAVIA STEVENSON APRN-BC
Provider Business Mailing Address
First Line : 232 N ORANGE BLOSSOM TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32805-1612
Country : US
Telephone Number : 407-428-5751
Fax Number : 407-481-8638
Provider Business Practice Location Address
First Line : 232 N ORANGE BLOSSOM TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32805-1612
Country : US
Telephone Number : 407-428-5751
Fax Number : 407-481-8638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2019
Last Update Date : 02/13/2026

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Directions to “ NATESHA OCTAVIA STEVENSON APRN-BC” Practice Location

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