Provider Demographics
NPI:1699146050
Name:STEVENS, RACHEL (ARNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:STEVENS
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18167 US HIGHWAY 19 N STE 650
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6576
Mailing Address - Country:US
Mailing Address - Phone:727-437-3510
Mailing Address - Fax:
Practice Address - Street 1:18167 US HIGHWAY 19 N STE 650
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6576
Practice Address - Country:US
Practice Address - Phone:727-437-3510
Practice Address - Fax:727-536-2896
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02096363L00000X
FLARNP9329611363LF0000X
NH090842-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner