Individual
PENNY KAY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
216 EVANGELINE ST, DERIDDER, LA 70634-4251
(337) 463-4486
(337) 462-2486
Mailing address
216 EVANGELINE ST, DERIDDER, LA 70634-4251
(337) 463-4486
(337) 462-2486
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN151947
LA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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