Individual
MARLEY ANN STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
255 W HIGHWAY 32, LICKING, MO 65542-9076
(573) 674-4470
Mailing address
1126 HIGHWAY P, SALEM, MO 65560-8267
(573) 674-4470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022012951
MO
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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