Individual
MRS. STEPHANIE MARIE ELMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8000
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 887-7046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA974
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396835120
—
NV
01
—
PA974
NV PHYS. ASST LICENSE #
NV
Enumeration date
10/13/2006
Last updated
07/21/2022
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