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Individual

SHELLYE D STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 321-1000
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(877) 649-7812
(918) 392-2941

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
148160
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
C003027
AR

Other

Enumeration date
08/08/2006
Last updated
01/25/2017
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