Provider Demographics
NPI:1386372233
Name:CLIMES, STEPHANY L
Entity type:Individual
Prefix:
First Name:STEPHANY
Middle Name:L
Last Name:CLIMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 BELLEAIR PL
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-2603
Mailing Address - Country:US
Mailing Address - Phone:727-877-9313
Mailing Address - Fax:
Practice Address - Street 1:209 BELLEAIR PL
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-2603
Practice Address - Country:US
Practice Address - Phone:727-877-9313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7284-29OtherMADRIELLEA DOULA CERTIFICATON