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NPI Code Detail

MEDICARE: DARLA RAE STEVENS FNP-C

MEDICARE: DARLA RAE STEVENS FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201209NC
2363LF0000XFamily Nurse Practitioner135883NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316147507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLA RAE STEVENS FNP-C
Provider Business Mailing Address
First Line : 2858 HARMON RD
Second Line :
City : LINCOLNTON
State : NC
Zip : 28092-0623
Country : US
Telephone Number : 980-241-1379
Fax Number :
Provider Business Practice Location Address
First Line : 420 N CENTER ST
Second Line :
City : HICKORY
State : NC
Zip : 28601-5033
Country : US
Telephone Number : 828-315-5622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 04/28/2021

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