Individual
KASSIDY B STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5308 HARROUN RD # 285, SYLVANIA, OH 43560-2193
(419) 824-1785
(419) 824-5953
Mailing address
5308 HARROUN RD # 285, SYLVANIA, OH 43560-2193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025629
OH
Other
Enumeration date
09/16/2019
Last updated
04/27/2026
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