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Individual

ELIZABETH ANN STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
70000145A
IN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
28112839A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70000145B
CSR
IN
Enumeration date
08/24/2006
Last updated
03/07/2023
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