Individual
SAMANTHA LYNN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N HOLMEN DR, HOLMEN, WI 54636-9350
(608) 399-3091
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16494
WI
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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