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Stephanie Adele Scudiero

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

11320 State Road 54, Trinity, FL 34655-2294

PECOS Enrollment

This provider is enrolled in PECOS as STEPHANIE SCUDIERO.

Based on the most recent information from CMS, provider Stephanie Adele Scudiero is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1104479757
Provider Type
Individual
Full Name
Scudiero, Stephanie Adele
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/23/2019
Last Updated
7/23/2019

Contact Information

Practice Location

11320 State Road 54, Trinity, FL 34655-2294

(727) 247-1234

(727) 247-1236

Mailing Location

11320 State Road 54, Trinity, FL 34655-2294

(727) 247-1234

(727) 247-1236

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F07190641 Florida
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN9379320 Florida

Stephanie Adele Scudiero

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Topp, Lauren M

Falcon, Andrea Marie

Ulseth, Jennifer

Murphy, Nickeya

Jonas, Rebecca A

Hatton, Diana

Christmann, Bianca

Ryder, Debora Lynn

Stewart, Rachel

Abelow, Nicolle A