Provider Demographics
NPI:1659457869
Name:COHEN, STEFANI (RNFA)
Entity Type:Individual
Prefix:MS
First Name:STEFANI
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3735 FIELDSTONE BLVD APT 901
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0745
Mailing Address - Country:US
Mailing Address - Phone:305-824-1107
Mailing Address - Fax:305-558-0570
Practice Address - Street 1:15175 EAGLE NEST LN
Practice Address - Street 2:SUITE 108
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2244
Practice Address - Country:US
Practice Address - Phone:305-824-1107
Practice Address - Fax:305-558-0570
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1882852364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical