Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stages Health & Wellness, LLC

Organization Family Nurse Practitioner · NPI 1417464918

Stages Health & Wellness, LLC is a Family Nurse Practitioner in Lakeland, Florida. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

122 E Main St Ste 124
Lakeland, FL 33801-4655
Phone: (863) 837-4867
Fax: (863) 228-8510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.012605 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1417464918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Manderson — Ceo/Founder · (863) 837-4867
NPI enumeratedJanuary 5, 2018
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address122 E Main St Ste 124, Lakeland, FL 33801-4655

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