Individual
MRS. STEPHANIE R DUARTE
Active
Individual
MRS. STEPHANIE R DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,FNP,BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
140945
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598296101
—
MO
01
—
706F445
MEDICARE INDIVIDUAL
—
Enumeration date
01/31/2007
Last updated
01/20/2010
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