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Individual

MRS. NANCY STARK STEVENSON

Active
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Individual

MRS. NANCY STARK STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83067
CO
367500000X
Certified Registered Nurse Anesthetist
37467
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-197
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44273878
CO
Enumeration date
06/29/2006
Last updated
01/05/2010
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