Provider Demographics
NPI:1124084181
Name:STEVENSON, YVONNE CAROL (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:CAROL
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:2925 DEBARR RD
Mailing Address - Street 2:#1109
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2983
Mailing Address - Country:US
Mailing Address - Phone:907-257-5496
Mailing Address - Fax:907-257-7454
Practice Address - Street 1:2925 DEBARR RD
Practice Address - Street 2:#1109
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2983
Practice Address - Country:US
Practice Address - Phone:907-257-5496
Practice Address - Fax:907-257-7454
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK#530363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health