Individual
MAGDALENE MYRIAH STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 BARILOCHE DR, PUNTA GORDA, FL 33983-5331
(631) 793-7662
Mailing address
17 BARILOCHE DR, PUNTA GORDA, FL 33983-5331
(631) 793-7662
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
294954-1
NY
164W00000X
Licensed Practical Nurse
Primary
PN5239139
FL
Other
Enumeration date
08/05/2014
Last updated
01/30/2025
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