Provider Demographics
NPI:1578068383
Name:STEVENS, VERONICA SUZANNE (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:SUZANNE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:NV
Mailing Address - Zip Code:89835-0158
Mailing Address - Country:US
Mailing Address - Phone:775-752-2111
Mailing Address - Fax:775-752-2112
Practice Address - Street 1:197 BAKER STREET
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:NV
Practice Address - Zip Code:89835
Practice Address - Country:US
Practice Address - Phone:775-752-2111
Practice Address - Fax:775-752-2112
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN69333163W00000X
NVAPRN002882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse