Individual
BETHANY J STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
(563) 382-1507
Mailing address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0999
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
A108954
IA
363L00000X
Nurse Practitioner
108954
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00469843
RR MEDICARE
IA
Enumeration date
06/12/2007
Last updated
05/03/2023
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