Individual
COLETTE D. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1142
(817) 334-0235
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1142
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
540553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119963004
—
TX
Enumeration date
07/20/2006
Last updated
09/24/2009
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