Provider Demographics
NPI:1972158400
Name:NEUMANN, STEFANI L (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:STEFANI
Middle Name:L
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:STEFANI
Other - Middle Name:L
Other - Last Name:CUTUCCHIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, NP-C
Mailing Address - Street 1:5210 WEBB RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4518
Mailing Address - Country:US
Mailing Address - Phone:813-882-9986
Mailing Address - Fax:813-341-3259
Practice Address - Street 1:870 111TH AVE N STE 4
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1869
Practice Address - Country:US
Practice Address - Phone:239-649-3090
Practice Address - Fax:239-649-3081
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAXXXXXXXX363L00000X
FLAPRN11007118363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110609500Medicaid