National Provider Identifier
Carley Fern Stevenson
Carley Fern Stevenson is listed in the NPPES registry with a primary specialty of Physician Assistant in Saint Bonaventure, NY and a listed phone number of (248) 535-7880.
Profile Overview
- NPI
- 1154027092
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 02, 2023
- Last Updated
- February 02, 2023
Practice Location
- 3261 W State RD
- Saint Bonaventure, NY 14778-9800
Phone: (248) 535-7880
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1154027092
- Entity Type
- Individual
- Last Name
- Stevenson
- First Name
- Carley
- Middle Name
- Fern
- Mailing Street Address
- 3261 W State RD
- Mailing City
- Saint Bonaventure
- Mailing State
- NY
- Mailing ZIP Code
- 14778-9800
- Mailing Country
- US
- Mailing Phone
- (248) 535-7880
- Practice Street Address
- 3261 W State RD
- Practice City
- Saint Bonaventure
- Practice State
- NY
- Practice ZIP Code
- 14778-9800
- Practice Country
- US
- Practice Phone
- (248) 535-7880
- Enumeration Date
- February 02, 2023
- Last Updated
- February 02, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- NEN757030452487 (Blue Cross Blue Shield)