Individual
INGRID G STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
(218) 786-8364
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124140
CO
163W00000X
Registered Nurse
148819-030
WI
163W00000X
Registered Nurse
Primary
R 066877-2
MN
367500000X
Certified Registered Nurse Anesthetist
022816
MN
Other
Enumeration date
08/24/2006
Last updated
03/01/2012
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