Individual
TRACY LEE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM/WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
201903006NP-PP
OR
367A00000X
Advanced Practice Midwife
Primary
201901674NP-PP
OR
Other
Enumeration date
06/23/2019
Last updated
06/23/2019
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