Stevens, Stephanie

Stevens, Stephanie is an individual health care provider with primary practice located at 70 Kenyon Ave Suite 326, Wakefield RI 02879-4239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Stevens, Stephanie can be contacted via phone (401) 789-8543.

Contact Information

Primary practice address
70 Kenyon Ave Suite 326 Wakefield RI 02879-4239
Fax: (401) 782-8766
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X RI00010 Rhode Island

Profile Details

NPI number 1679684062
LBN Legal business name Stevens, Stephanie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 22nd, 2008 - about 18 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 1679684062 NPPES
Rhode Island Other 0000000094 RHODE ISLAND BLUE CROSS/ BLUE SHIELD
Rhode Island MEDICAID ID9000094 RHODE ISLAND BLUE CROSS/ BLUE SHIELD
Rhode Island Other 000196 RHODE ISLAND BLUE CROSS/ BLUE SHIELD

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