Individual
SAMANTHA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3120 CHAPPEL DR, PERRYSBURG, OH 43551-7140
(567) 336-0001
Mailing address
3120 CHAPPEL DR, PERRYSBURG, OH 43551-7140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
023058
OH
363L00000X
Nurse Practitioner
4704294785
MI
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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