Sopheany Kon Stevens, FNP | |
1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
(719) 526-7000 | |
Not Available |
Full Name | Sopheany Kon Stevens |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1650 Cochrane Cir, Fort Carson, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043280845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 49981 (Hawaii) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1468 (Hawaii) | Primary |
Entity Name | Mountain View Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528510302 PECOS PAC ID: 0345521381 Enrollment ID: O20170105000266 |
Mailing Address | Practice Location Address |
---|---|
Sopheany Kon Stevens, FNP 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7000 | Sopheany Kon Stevens, FNP 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7000 |
Mrs. Gwen M Colon, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Attn Credentials Office Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7844 Fax: 719-526-7984 | |
Claudia Martial, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 | |
Mrs. Tisha Kim Ellis, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-0175 Fax: 719-526-2452 | |
Johnathon Samuel Schumann, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Evans Army Community Hospital, 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 | |
Anna M Jones, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-524-0691 | |
Dr. Lisa Marie Gray, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7061 Fax: 719-526-7132 | |
Ms. Lynne A Prouhet, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-5174 |