IndividualActive
Stephanie Rivadeneira
NPI 1114505120 · Registered Nurse · Lehigh Acres, FL
Provider details
- NPI number
- 1114505120
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9452821 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
8646 Pegasus Dr
Lehigh Acres, FL 33971-3764
Phone: (239) 210-8939
Approximate (ZIP-level) locationGet directions
Mailing address
8646 Pegasus Dr
Lehigh Acres, FL 33971-3764
Registry dates
- Enumerated
- 2021-03-31
- Last updated
- 2021-03-31
- Certified
- 2021-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.