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Individual

AMY IVA STEVAHN

Active
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Individual

AMY IVA STEVAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R038206
SD
363L00000X
Nurse Practitioner
Primary
CP000557
SD
363LF0000X
Family Nurse Practitioner
R28565
ND

Other

Enumeration date
06/16/2009
Last updated
03/31/2022
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