Provider Demographics
NPI:1942448519
Name:STEVENS, RACHEL DAWN (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:DAWN
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:221 S MAIN ST
Mailing Address - Street 2:201
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-2653
Mailing Address - Country:US
Mailing Address - Phone:734-330-8486
Mailing Address - Fax:248-398-6265
Practice Address - Street 1:221 S MAIN ST
Practice Address - Street 2:201
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2653
Practice Address - Country:US
Practice Address - Phone:734-330-8486
Practice Address - Fax:248-398-6265
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704237735363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health