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NPI Code Detail

MEDICARE: ANNETTE K STEVENSON FNP

MEDICARE: ANNETTE K STEVENSON FNP
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 PractitionerAPRN.CNP.0038212OH
2363LF0000XFamily Nurse Practitioner201908209NP-PPOR
3363LF0000XFamily Nurse PractitionerAP10908AZ

Other Identifiers

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

General Provider Information

NPI Number : 1558875435
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE K STEVENSON FNP
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE STOP 1108
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-383-5322
Fax Number :
Provider Business Practice Location Address
First Line : 3000 ARLINGTON AVE STE 2B
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-383-3578
Fax Number : 419-383-3388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 01/20/2026

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Directions to “ ANNETTE K STEVENSON FNP” Practice Location

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