| NPI | 1659789261 |
|---|---|
| Former Name | AVIS SPRADLEY STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL Arnp9173507) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2017-04-06 |