Individual
LINDA M STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Mailing address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209696
MEDICARE GROUP NUMBER
IL
01
—
P00154941
RAILROAD MEDICARE
IL
Enumeration date
06/02/2005
Last updated
04/20/2008
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