Individual
ELIZABETH STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4949
(765) 502-4187
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009638
—
IN
Enumeration date
05/29/2015
Last updated
08/25/2025
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