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NPI Code Detail

MEDICARE: AMELIA NICOLE STEVENS I APRN

MEDICARE: AMELIA NICOLE STEVENS I APRN
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 Practitioner3011565KY

General Provider Information

NPI Number : 1467970715
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA NICOLE STEVENS I APRN
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number :
Fax Number : 606-330-7825
Provider Business Practice Location Address
First Line : 1850 BYPASS RD
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-2300
Country : US
Telephone Number : 859-744-5111
Fax Number : 859-744-1177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2017
Last Update Date : 08/07/2023

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