Individual
MS. BETHANNE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
920 N QUINCY AVE, OTTUMWA, IA 52501-3866
(641) 455-5200
(641) 455-5150
Mailing address
920 N QUINCY AVE, OTTUMWA, IA 52501-3866
(641) 455-5200
(641) 455-5150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-104852
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316189004
—
IA
01
—
A104852
IOWA LICENSE
IA
Enumeration date
03/27/2009
Last updated
02/04/2021
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