Ingrid G Stephens CRNA

NPI 1154438117 - Registered Nurse - 163W00000X

NPI Details
NPI 1154438117
Gender Female
Enumeration Date 08/24/2006
Last Updated 03/01/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH MN, 55805-1951, US
Phone (218) 786-8364
Fax (218) 786-8364
Business Location
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH MN, 55805-1951, US
Phone (218) 786-8364
Fax (218) 786-8364
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 148819-030
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According to our database, Ingrid G Stephens CRNA NPI is 1154438117, taxonomy code is 163W00000X and license number is 148819-030, license state is located at Wisconsin. Ingrid G Stephens CRNA physically located at 400 E 3rd St, Duluth MN, 55805-1951. NPI Number Ingrid G Stephens CRNA has the Individual type.

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1154438117 NPI number is provided on an as is basis without warranty of any kind. 1154438117 is maintained by the National Plan & Provider Enumeration System. The contents of Ingrid G Stephens CRNA are for informational purposes only.