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Individual
MRS. MARGO V. STEVENS
Active
Individual
MRS. MARGO V. STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209808-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107002816101
INTERMOUNTAIN HEALTH CARE
UT
01
—
500030249
RCAR- RAILROAD MEDICARE
UT
01
—
638896
DESERET MUTUAL
UT
01
—
942938348005
CHAMPUS
UT
01
—
942938348MGO
EDUCATORS MUTUAL
UT
Enumeration date
12/13/2005
Last updated
08/09/2011
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