Physician Compare National (NPI:1578068383)

HEALTHCARE PROVIDER: VERONICA SUZANNE STEVENS APRN, FNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1578068383
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446506323
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180706001899
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STEVENS
	Individual professional last name
Provider First Name	VERONICA
	Individual professional first name
Provider Middle Name	SUZANNE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	PO BOX
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 158
	Group Practice or individual's line 2 address
City	WELLS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	898350158
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7757522111
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHEASTERN NEVADA REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y