Provider Demographics
NPI:1659629079
Name:STEVENSON, KAREN R (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:R
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-4578
Mailing Address - Country:US
Mailing Address - Phone:480-812-7702
Mailing Address - Fax:480-224-9089
Practice Address - Street 1:350 N ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-4578
Practice Address - Country:US
Practice Address - Phone:480-812-7702
Practice Address - Fax:480-812-7715
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN083909163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool