SUSAN ELISE STEVENS


Address: 3100 Maccorkle Ave Se Ste B1, Charleston, WV 25304-1222
Phone: 3043450667

SUSAN ELISE STEVENS (NPI# 1417212648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417212648
Entity Type Individual
Full Name SUSAN ELISE STEVENS
Credential FNP-BC
Practice Address 3100 Maccorkle Ave Se Ste B1
Charleston
WV 25304-1222
Mailing Address 3415 Maccorkle Ave Se
Charleston
WV 25304-1334
Practice Telephone 3043450667
Mailing Telephone 3043881790
Enumeration Date 2012-07-13
Last Update Date 2017-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
74114 WV Physician Assistants & Advanced Practice Nursing Providers

Other Providers SUSAN STEVENS

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1851541775 Susan Keeton Stevens Specialist 394 Guymard Tpke, Middletown, NY 10940-7109 2008-09-28
1467673038 Susan Welch Stevens Specialist/Technologist University of North Carolina At Greensboro, Department of Exercise and Sports Science, 237a Hhp, Greensboro, NC 27412 2007-05-01
1326188657 Susan Stevens Marriage & Family Therapist 212 N 1st Ave Ste G100, Sandpoint, ID 83864-1400 2007-02-07
1609932524 Susan Polly Stevens Psychologist 116d Ncptsd Vam Roc 215 North Main St, White River Junction, VT 05009-0001 2006-12-28
1811909815 Susan J Stevens Specialist 4308 Montgomery Ave, Bethesda, MD 20814-4402 2006-08-12
1477562593 Susan M. Stevens Family Medicine 180 Kennedy Memorial Drive, Suite 303, Waterville, ME 04901 2006-08-07
1487678413 Susan Cora Stevens Social Worker 170 W 76th St, #501, New York, NY 10023-8412 2006-07-26
1831746262 Susan Bethany Stevens Physical Therapist 601 John St, Kalamazoo, MI 49007-5341 2019-08-21
1427512185 Susan Stevens Speech-Language Pathologist 2225 Old Emmorton Rd Ste 210, Bel Air, MD 21015-6123 2019-01-28
1902307689 Susan Amanda Stevens Counselor 8701 Six Forks Rd, Raleigh, NC 27615-2968 2018-02-27

Office Location

Street Address 3100 MACCORKLE AVE SE STE B1
City CHARLESTON
State WV
Zip Code 25304-1222

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
Find all providers in zip 25304

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557737 Diondra Johnson Nurse Practitioner 2327 Watchtower Ln, Charleston, SC 29414-7803 2020-10-27
1427656735 Kisha Lanece James Nurse Practitioner 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 2020-10-09
1043822216 Amber Bagwell Nurse Practitioner 442 King St Fl 2, Charleston, SC 29403-6230 2020-08-19
1790396273 Amanda Jo Grant Nurse Practitioner 2207 Seneca Dr, Charleston, IL 61920-3836 2020-08-10
1811514961 Isabel Margarita Lemasters Nurse Practitioner 3226 Moonlight Dr, Charleston, SC 29414-8052 2020-07-05
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1770123929 Catherine A. Woods Nurse Practitioner 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 2020-01-15
1104464999 Brittany D Griffith Nurse Practitioner 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 2019-12-12
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1124660774 Dennis Robert Moore Nurse Practitioner 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 2019-10-16
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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