Individual
STEPHANIE MARIE ALTICK RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2960 MACK RD STE 200, FAIRFIELD, OH 45014-5300
(513) 421-3494
(513) 867-3241
Mailing address
2960 MACK RD STE 200, FAIRFIELD, OH 45014-5300
(513) 421-3494
(513) 867-3241
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
315910
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN.CNP.0035809
OH
Other
Enumeration date
02/02/2024
Last updated
10/02/2025
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