Doctor profile · Federal record
Dr. Susan Mallone-Stead, APRN
Pediatric Nurse Practitioner · Family Nurse Practitioner · Fort Myers, FL
- NPI 1487658316
- 21 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4751 S Cleveland Ave
Fort Myers, FL 339071317
(239) 343-9888
fax (239) 343-9868 - Mailing address
-
Po Box 2147
Fort Myers, FL 339022147
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- January 31, 2022
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Florida #APRN9395706
- Medicaid (2)
- FL #013881500 · NY #02136749
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487658316. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corium, LLC | 1 | $17.43 |
By nature of payment
Frequently asked questions
What is Dr. Susan Mallone-Stead's medical specialty?
Dr. Susan Mallone-Stead practices Pediatric Nurse Practitioner in Fort Myers, FL.
Where does Dr. Susan Mallone-Stead practice?
Dr. Susan Mallone-Stead practices at 4751 S Cleveland Ave, Fort Myers, FL 339071317. Office phone: 2393439888.
What is Dr. Susan Mallone-Stead's NPI?
Dr. Susan Mallone-Stead's National Provider Identifier (NPI) is 1487658316, issued by NPPES.