Provider Demographics
NPI:1255884896
Name:NIEVES, STEPHANIE (DC, MS, ATC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:NIEVES
Suffix:
Gender:F
Credentials:DC, MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8870 W ATLANTIC AVE STE D3
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9808
Mailing Address - Country:US
Mailing Address - Phone:561-951-2273
Mailing Address - Fax:561-778-8987
Practice Address - Street 1:8870 W ATLANTIC AVE STE D3
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446
Practice Address - Country:US
Practice Address - Phone:561-951-2273
Practice Address - Fax:561-778-8987
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor