Individual
BETHANY J STEVENS
Active
Individual
BETHANY J STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
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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