| NPI | 1255095550 |
|---|---|
| Other Name | DAVE CARL STEVENS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202111950NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201041299RN) |
| 163W00000X Registered Nurse (Licence: WA RN61146170) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61337481) | |
| Enumeration Date | 2021-10-24 |
| Last Update Date | 2024-01-16 |