| Doctor Name: | TINA M STEVENS |
| NPI Number: | 1326355223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN603361 |
| Business Practice Address: | 943 Hualapai Way Peach Springs, AZ - 86434 |
| Business Phone Number: | 9287692204 |
| Business Fax Number: | 9287692701 |
| Mailing Address: | 12033 Agency Rd, PARKER |
| State: | AZ |
| Postal Code: | 853447718 |
| Phone Number: | 9286692137 |
| Fax Number: | 9286693131 |
| NPI Enumeration Date: | 09/13/2010 |
| NPI Last Update Date: | 09/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | RN603361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |