Shirley Irene Stevens
Individual provider Active NPI Private Vehicle · Page, ND
NPI 1023724432 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1023724432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- Practice address
- 13820 18TH St SE
Page, ND 58064-9745 - Phone
- (701) 238-5425
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
13820 18TH St SE
Page, ND 58064-9745
Mailing address
13820 18TH St SE
Page, ND 58064-9745
Phone (701) 238-5425
Other names
- Mrs. Shirley I Stevens
Other providers in Page, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.