Individual
MRS. VICTORIA JEAN STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8836 CANARY CT, WIND LAKE, WI 53185-5519
(262) 895-7416
Mailing address
8836 CANARY CT, WIND LAKE, WI 53185-5519
(262) 895-7416
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
93441-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39851900
—
WI
Enumeration date
05/17/2006
Last updated
05/20/2010
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