Individual
MRS. BERNADETTE H. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE (LPN)
Contact information
Practice address
43 STONEWALL CIR, WHITE PLAINS, NY 10607-1834
(914) 287-7579
Mailing address
43 STONEWALL CIR, WHITE PLAINS, NY 10607-1834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
163979-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01144632
—
NY
Enumeration date
12/04/2007
Last updated
12/04/2007
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