Individual
STEPHANIE CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.397734
IL
163W00000X
Registered Nurse
RN9S089711
CA
367A00000X
Advanced Practice Midwife
Primary
209.015652
IL
367A00000X
Advanced Practice Midwife
235837
CA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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