Individual
MICHELLE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15073 ROSEWOOD DR, CLIVE, IA 50325-7862
(515) 344-1750
Mailing address
15073 ROSEWOOD DR, CLIVE, IA 50325-7862
(515) 344-1750
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
152922
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152922
NURSING LICENSE NUMBER
IA
Enumeration date
10/25/2021
Last updated
10/25/2021
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