Stevens, Lisa

Stevens, Lisa is an individual health care provider with primary practice located at 10 Sunnybrook Rd , Raleigh NC 27610-1808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Stevens, Lisa can be contacted via phone (919) 212-7000.

Contact Information

Primary practice address
10 Sunnybrook Rd Raleigh NC 27610-1808
Phone: (919) 212-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024166990 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 164 North Carolina

Profile Details

NPI number 1215965074
LBN Legal business name Stevens, Lisa
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Dec 8th, 2022 - about 3 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 1215965074 NPPES
Virginia Other CN3911 RAILROAD MEDICARE PTAN
Virginia Other 210104 RAILROAD MEDICARE PTAN
Virginia MEDICAID 010293821 RAILROAD MEDICARE PTAN
Virginia Other 10012208M RAILROAD MEDICARE PTAN
Virginia Other C02245 RAILROAD MEDICARE PTAN
Virginia Other 018694O45 RAILROAD MEDICARE PTAN

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