Individual
MARY JO STEVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, ACNP-BC
Contact information
Practice address
2751 BAY PARK DR STE 100, OREGON, OH 43616-4921
(419) 690-7670
(419) 697-6877
Mailing address
7094 GREY ESTATES DR, LAMBERTVILLE, MI 48144-8504
(734) 807-0055
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
4704260758
MI
363L00000X
Nurse Practitioner
Primary
020723
OH
363LA2200X
Adult Health Nurse Practitioner
4704260758
MI
Other
Enumeration date
04/01/2014
Last updated
08/06/2019
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