SUSAN ELISE STEVENS

CHARLESTON, WV
NPI1417212648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  74114)
Enumeration Date2012-07-13
Last Update Date2017-02-22
Business Address
-- SUSAN ELISE STEVENS FNP-BC
3100 MACCORKLE AVE SE STE B1
CHARLESTON, WV 25304-1222
Phone number: 304-345-0667
Mailing Address
-- SUSAN ELISE STEVENS FNP-BC
3415 MACCORKLE AVE SE
CHARLESTON, WV 25304-1334
Phone number: 304-388-1790
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