Provider Demographics
NPI:1396753695
Name:STEVENS, CHRISTINE L (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:8055 O ST
Practice Address - Street 2:STE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2564
Practice Address - Country:US
Practice Address - Phone:402-488-4022
Practice Address - Fax:402-488-4113
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE18953207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7714160Medicaid
4600OtherMIDLANDS CHOICE
NE470780857 33Medicaid
NE04145OtherBCBS
NE07-01144OtherUHC
NE07-01144OtherUHC
NE470780857 33Medicaid
4600OtherMIDLANDS CHOICE