Stephanie Acosta Marchany, RN
Individual provider Active NPI Registered Nurse · Bartow, FL
NPI 1285265165 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1285265165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9500431 (FL)
- Practice address
- 1255 Golfview Ave
Bartow, FL 33830-6736 - Phone
- (863) 519-0575
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9500431 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9500431 | FL | Yes |
Addresses
Primary practice location
1255 Golfview Ave
Bartow, FL 33830-6736
Mailing address
PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.