Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stefani Viviane Guerrero, PA-C

Individual provider Physician Assistant · NPI 1861766701

Mrs. Stefani Viviane Guerrero, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Tryon Medical Partners, PLLC, a 137-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
15
Licensed in
FL, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16817 Marvin Rd
Charlotte, NC 28277-2196
Phone: (704) 495-6036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10802 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA9106437 (FL)

Record details

NPI number1861766701
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2012
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Tryon Medical Partners, Pllc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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