Individual
ELAINE THERESA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
4387 HAMILTON DR, EAGAN, MN 55123-2603
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R112724-1
MN
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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