Stevens, Bethanne

Stevens, Bethanne is an individual health care provider with primary practice located at 920 N Quincy Ave , Ottumwa IA 52501-3866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stevens, Bethanne can be contacted via phone (641) 455-5200.

Contact Information

Primary practice address
920 N Quincy Ave Ottumwa IA 52501-3866
Fax: (641) 455-5150
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-104852 Iowa

Profile Details

NPI number 1316189004
LBN Legal business name Stevens, Bethanne
Credentials ARNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2009
Last updated Feb 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316189004 NPPES
Iowa Other A104852 IOWA LICENSE
Iowa MEDICAID 1316189004 IOWA LICENSE

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