Provider Demographics
NPI:1053361519
Name:STEVENS, ANN EVE (LPN)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:EVE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4753 MIDDLETOWNE ST
Mailing Address - Street 2:C
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1974
Mailing Address - Country:US
Mailing Address - Phone:614-535-7457
Mailing Address - Fax:
Practice Address - Street 1:5862 HADDINGTONSHIRE LN
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3283
Practice Address - Country:US
Practice Address - Phone:614-323-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN088232164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse