Individual
ELIZABETH ANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
655 E MAIN ST, PERU, IN 46970-2662
(765) 472-1931
(765) 472-1945
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 732-0504
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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