Individual
KEIRA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3707 E SOUTHERN AVE # 501, MESA, AZ 85206-2569
(602) 661-7550
(833) 913-2523
Mailing address
3707 E SOUTHERN AVE # 501, MESA, AZ 85206-2569
(602) 661-7550
(833) 913-2523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP3183
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4418
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596917
—
AZ
01
—
Z141674
PTAN
—
Enumeration date
11/05/2008
Last updated
01/13/2023
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