Individual provider · Type 1 NPI

Susan Marie Mallone-Stead, APRN

Pediatric Nurse Practitioner · Fort Myers, FL

NPI number 1487658316 Active

Practice location

4751 S Cleveland Ave
Fort Myers, FL 33907-1317

Fax (239) 343-9868

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN9395706 (FL)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN9395706 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1487658316

Susan Marie Mallone-Stead, APRN's National Provider Identifier is 1487658316, issued on Jun 9, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Myers, FL. The record was last updated on Jan 31, 2022.