Stevens, Misty Marie
Stevens, Misty Marie is an sole proprietor health care provider with primary practice located at 6326 Constitution Dr , Fort Wayne IN 46804-1518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Stevens, Misty Marie can be contacted via phone (260) 515-3275.Contact Information
Primary practice address
6326 Constitution Dr
Fort Wayne IN 46804-1518
Phone: (260) 515-3275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 71012917A | Indiana |
Profile Details
| NPI number | 1487382719 |
|---|---|
| LBN Legal business name | Stevens, Misty Marie |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2022 |
| Last updated | Aug 14th, 2022 - 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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