Individual provider · Type 1 NPI

Stephanie Lynn Revoredo

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1508669755 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4321 Map

Mailing address

1226 Kendal Ct
Augusta, GA 30907-4756

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508669755

Stephanie Lynn Revoredo's National Provider Identifier is 1508669755, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 31, 2025.