Altick Rivera, Stephanie Marie

Altick Rivera, Stephanie Marie is an individual health care provider with primary practice located at 2960 Mack Rd Ste 200 , Fairfield OH 45014-5300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Altick Rivera, Stephanie Marie can be contacted via phone (513) 421-3494.

Contact Information

Primary practice address
2960 Mack Rd Ste 200 Fairfield OH 45014-5300
Phone: (513) 421-3494
Fax: (513) 867-3241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 315910 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN.CNP.0035809 Ohio

Profile Details

NPI number 1487417374
LBN Legal business name Altick Rivera, Stephanie Marie
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2024
Last updated Oct 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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