Provider Demographics
NPI:1700089877
Name:LOVELL, STEVEN CLAIR (RNFA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CLAIR
Last Name:LOVELL
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1969 BUCKEYE RD
Mailing Address - Street 2:
Mailing Address - City:WILLITS
Mailing Address - State:CA
Mailing Address - Zip Code:95490-9456
Mailing Address - Country:US
Mailing Address - Phone:707-459-1556
Mailing Address - Fax:707-456-3175
Practice Address - Street 1:1969 BUCKEYE RD
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-9456
Practice Address - Country:US
Practice Address - Phone:707-459-1556
Practice Address - Fax:707-456-3175
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245453163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse