Provider Demographics
NPI:1285303495
Name:STEVENSON, DANNIELL HOPE (LPN)
Entity type:Individual
Prefix:MRS
First Name:DANNIELL
Middle Name:HOPE
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DANNIELL
Other - Middle Name:HOPE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2520 WALES AVE NW STE 100
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-2398
Mailing Address - Country:US
Mailing Address - Phone:234-262-1112
Mailing Address - Fax:330-837-2341
Practice Address - Street 1:2520 WALES AVE NW STE 100
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2398
Practice Address - Country:US
Practice Address - Phone:234-262-1112
Practice Address - Fax:330-837-2341
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH175456164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse