Individual
BETH STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 301, GRAND RAPIDS, MI 49503-4693
(616) 685-6900
(616) 685-8950
Mailing address
310 LAFAYETTE AVE SE, SUITE 301, GRAND RAPIDS, MI 49503-4693
(616) 685-6900
(616) 685-8950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704309026
MI
Other
Enumeration date
09/18/2013
Last updated
10/15/2014
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