Individual
SHANE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6150
Mailing address
100 E LEFEVRE RD, STERLING, IL 61081-1279
(815) 625-0400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209019258
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
230514
AZ
Other
Enumeration date
04/15/2019
Last updated
06/26/2020
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