Provider Demographics
NPI:1952440836
Name:STEVENSON, LINDA NASH (AP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:NASH
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 2ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-5008
Mailing Address - Country:US
Mailing Address - Phone:727-584-3551
Mailing Address - Fax:
Practice Address - Street 1:1201 S HIGHLAND AVE
Practice Address - Street 2:#1
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-4379
Practice Address - Country:US
Practice Address - Phone:727-467-4200
Practice Address - Fax:727-467-4338
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1159171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist