Individual
ANGELA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1308 N GLENSTONE AVE, SPRINGFIELD, MO 65802
(417) 832-1117
(417) 832-1193
Mailing address
1308 N GLENSTONE AVE, SPRINGFIELD, MO 65802-2130
(417) 832-1117
(417) 832-1193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704261467
MI
363LF0000X
Family Nurse Practitioner
Primary
2018017915
MO
363LF0000X
Family Nurse Practitioner
4704261467
MI
Other
Enumeration date
11/27/2017
Last updated
06/20/2018
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