Individual
MISTY MARIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2620 S WESTERN AVE, MARION, IN 46953-3556
(765) 573-2530
(765) 573-2535
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012917A
IN
Other
Enumeration date
08/14/2022
Last updated
11/14/2025
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