Individual
SHANNON NOELLE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2534 GLENN AVE, SIOUX CITY, IA 51106-2768
(712) 274-7822
(712) 274-2556
Mailing address
1125 PIERCE ST STE 100, SIOUX CITY, IA 51105-1484
(712) 255-8901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A165245
IA
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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