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NPI Code Detail

MEDICARE: MARK ANDREW STEVENSON APRN

MEDICARE: MARK ANDREW STEVENSON 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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.0042467OH

General Provider Information

NPI Number : 1811822323
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ANDREW STEVENSON APRN
Provider Business Mailing Address
First Line : 29 SCOTT LN
Second Line :
City : HAMILTON
State : OH
Zip : 45015-2154
Country : US
Telephone Number : 614-619-9671
Fax Number :
Provider Business Practice Location Address
First Line : 520 W 10TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1328
Country : US
Telephone Number : 614-293-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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