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NPI Code Detail

MEDICARE: MARTI STEVENS RN

MEDICARE: MARTI STEVENS RN
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
1163WC0200XCritical Care Medicine Registered Nurse1079499TX

General Provider Information

NPI Number : 1811829344
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTI STEVENS RN
Provider Business Mailing Address
First Line : 3900 CANNONWOOD DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-6014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4110
Country : US
Telephone Number : 817-926-2544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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