Individual provider · Type 1 NPI

Steven Mark Anthony Requena, NP

Nurse Practitioner · Gainesville, FL

NPI number 1063258994 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-8553

Mailing address

PO Box 740861
Atlanta, GA 30374-0861

Other practice locations

  • 120 Palencia Village Dr Ste 107, St. Augustine, FL 32095-8553 · (904) 819-3200

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X352149 (NY)
Nurse Practitioner Primary 363L00000XAPRN11035022 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063258994

Steven Mark Anthony Requena, NP's National Provider Identifier is 1063258994, issued on Jul 1, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gainesville, FL. The record was last updated on Sep 3, 2025.