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Individual

GRETCHEN KAY STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-083464
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009935907
AL
05
113591
AL
05
113592
AL
05
113593
AL
05
113594
AL
05
113595
AL
01
510-49327
BCBS
AL
01
510-49328
BCBS
AL
01
510-49329
BCBS
AL
01
515-33535
BCBS
AL
01
515-98702
BCBS
AL
01
515-98703
BCBS
AL
Enumeration date
04/14/2006
Last updated
10/02/2009
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