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Individual
MR. ELIJAH BERNARD STEVENS
Active
Individual
MR. ELIJAH BERNARD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP, NPP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F3028621
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F4018441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F3028621
NP LICENCE NUMBER
NY
01
—
F4018441
NP LICENCE NUMBER
NY
Enumeration date
10/02/2006
Last updated
03/07/2023
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