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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA LYN STEVENSON, COTA/L

Active Sole Proprietor

IDA LYN STEVENSON, COTA/L is a Skilled Nursing Facility healthcare provider located in MONROE, Wisconsin. NPI 1821265638 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · MONROE, WI

Registration Details

NPI Number
1821265638
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2008 (18.228790203382 yrs)
Last Updated
Oct 19, 2020
Sole Proprietor
Yes

Practice Information

Address
2903 13TH ST
MONROE, WI, 535662245
Browse WI providers · Browse ZIP 53566
Phone
6085586032
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.