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NPI Code Detail

MEDICARE: LEUAMME TAIQUAN STEVENS RN

MEDICARE: LEUAMME TAIQUAN STEVENS RN
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
1163W00000XRegistered Nurse933314NY

General Provider Information

NPI Number : 1588527493
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEUAMME TAIQUAN STEVENS RN
Provider Business Mailing Address
First Line : 86 SCHOFIELD ST
Second Line :
City : BRONX
State : NY
Zip : 10464-1532
Country : US
Telephone Number : 914-426-3539
Fax Number :
Provider Business Practice Location Address
First Line : 317 NORTH ST
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-2209
Country : US
Telephone Number : 914-597-4109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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