Individual
MRS. DANA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3075 VICTORIA AVE, CINCINNATI, OH 45208-1505
(615) 772-8985
Mailing address
3075 VICTORIA AVE, CINCINNATI, OH 45208-1505
(615) 772-8985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11865
TN
367500000X
Certified Registered Nurse Anesthetist
6062A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
NA10504
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4120865
BCBS
TN
Enumeration date
02/15/2006
Last updated
03/02/2016
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