Individual
STEFANIE TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-6000
Mailing address
15166 HEARTHSTONE DR, COUNCIL BLUFFS, IA 51503-5849
(563) 357-4466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112866
NE
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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