MEDICARE: CRYSTAL L STEVENS 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
1	363LA2200X	Adult Health Nurse Practitioner	46161	KS

General Provider Information

NPI Number	:	1679746945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL L STEVENS APRN

Provider Business Mailing Address
First Line	:	2901 LAKEVIEW ROAD
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049
Country	:	US
Telephone Number	:	785-865-4585
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 LAKEVIEW ROAD
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049
Country	:	US
Telephone Number	:	785-865-4285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	12/02/2025

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