Individual
MRS. ELAINE S STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-6408
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L10040420APN000161
DE
363LP0200X
Pediatric Nurse Practitioner
UP003039D
PA
Other
Enumeration date
01/22/2008
Last updated
09/18/2012
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