Individual
FLETCHER M STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 1ST AVE, ST MARYS HOSPTAL ROOM 6019, HUNTINGTON, WV 25702-1241
(304) 399-0137
(304) 399-0138
Mailing address
2900 1ST AVE, ST MARYS HOSPTAL ROOM 6019, HUNTINGTON, WV 25702-1241
(304) 399-0137
(304) 399-0138
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
69677
WV
367500000X
Certified Registered Nurse Anesthetist
APN10713
TN
367500000X
Certified Registered Nurse Anesthetist
RN143453
TN
367500000X
Certified Registered Nurse Anesthetist
RN170816
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS GROUP
WV
01
—
001945814
MSBCBS
WV
05
—
0207026000
—
WV
01
—
1071314
BRICKSTREET
WV
05
—
2460484
—
OH
01
—
27005299700
BRICKSTREET GROUP
WV
01
—
270052997003
TRICARE GROUP
WV
05
—
2802800
—
OH
05
—
3630211
—
TN
05
—
3810008135
—
WV
01
—
4078445
BCBS
TN
Enumeration date
02/28/2006
Last updated
06/28/2013
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