Individual provider · Type 1 NPI

Nicholas Eldon Stevenson, MD

Student in an Organized Health Care Education/Training Program · Nellis Afb, NV

NPI number 1417759879 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Call (339) 788-0986 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLL4486 (NV)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417759879

Nicholas Eldon Stevenson, MD's National Provider Identifier is 1417759879, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nellis Afb, NV. The record was last updated on Sep 8, 2026.