Altick Rivera, Stephanie Marie

Altick Rivera, Stephanie Marie is an individual health care provider with primary practice located at 2960 Mack Rd Ste 200 , Fairfield OH 45014-5300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Altick Rivera, Stephanie Marie can be contacted via phone (513) 421-3494.

Contact Information

Primary practice address
2960 Mack Rd Ste 200 Fairfield OH 45014-5300
Fax: (513) 867-3241
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 315910 Ohio

Profile Details

NPI number 1487417374
LBN Legal business name Altick Rivera, Stephanie Marie
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2024
Last updated Apr 18th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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