Healthcare Provider Details

I. General information

NPI: 1740520402
Provider Name (Legal Business Name): DEBORAH ANN STEVISON C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2013
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N F ST
HAMILTON OH
45013-3075
US

IV. Provider business mailing address

25 NORTH F ST
HAMILTON OH
45013
US

V. Phone/Fax

Practice location:
  • Phone: 513-795-7557
  • Fax: 513-795-7518
Mailing address:
  • Phone: 513-795-7557
  • Fax: 513-795-7518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP-14265
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: