Doctor Name: | PATRICIA STEVENS |
NPI Number: | 1104061845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R031498 |
Business Practice Address: | 101 Braddock Rd Frostburg, MD - 215322303 |
Business Phone Number: | 3016874310 |
Business Fax Number: | |
Mailing Address: | 101 Braddock Rd, FROSTBURG |
State: | MD |
Postal Code: | 215322303 |
Phone Number: | 3016874310 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R031498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |