Stevens, Shane

Stevens, Shane is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stevens, Shane can be contacted via phone (928) 639-6150.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Phone: (928) 639-6150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209019258 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 230514 Arizona

Profile Details

NPI number 1568025716
LBN Legal business name Stevens, Shane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2019
Last updated Jun 26th, 2020 - about 5 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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