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Individual

MS. LINDA JEAN STEPHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
6450 38TH AVE N, SUITE 200, SAINT PETERSBURG, FL 33710
(727) 344-6060
(727) 347-5586
Mailing address
6450 38TH AVE N, SUITE 200, SAINT PETERSBURG, FL 33710
(727) 344-6060
(727) 347-5586

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
25ME00044401
NJ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9289046
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9289046
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25ME00044401
CNM LICENSE
NJ
01
ARNP9289046
BOARD OF NURSING LICENSE
FL
Enumeration date
07/19/2007
Last updated
03/02/2012
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