| Doctor Name: | MS. BETHANNE STEVENS |
| NPI Number: | 1316189004 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP, FNP-C |
| License Number: | A-104852 |
| Business Practice Address: | 107 N 3rd St Eddyville, IA - 525537709 |
| Business Phone Number: | 6419695212 |
| Business Fax Number: | 6419695029 |
| Mailing Address: | 107 N 3rd St, P.o. Box 576 EDDYVILLE |
| State: | IA |
| Postal Code: | 525537709 |
| Phone Number: | 6419695212 |
| Fax Number: | 6419695029 |
| NPI Enumeration Date: | 03/27/2009 |
| NPI Last Update Date: | 03/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-104852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |