Individual
ANGELA STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 W ASH ST STE B, JUNCTION CITY, KS 66441-3467
(254) 423-3639
Mailing address
1310 W ASH ST STE B, JUNCTION CITY, KS 66441-3467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129951
KS
163WC0400X
Case Management Registered Nurse
129951
KS
163WG0000X
General Practice Registered Nurse
129951
KS
163WH0200X
Home Health Registered Nurse
129951
KS
163WH1000X
Hospice Registered Nurse
129951
KS
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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