Individual
MRS. BETTY A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12416 PRAIRIE WIND TRL, MORENO VALLEY, CA 92555-5405
(951) 924-7334
Mailing address
12416 PRAIRIE WIND TRL, MORENO VALLEY, CA 92555-5405
(951) 924-7334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP5962
CA
Other
Enumeration date
11/29/2006
Last updated
11/22/2021
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