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Individual

MRS. MARCELLIA DENISE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP

Contact information

Practice address
16761 SOUTHPARK CTR, STRONGSVILLE, OH 44136-9302
(216) 636-5811
Mailing address
9500 EUCLID AVE # A10, CLEVELAND, OH 44195-1445
(216) 636-5811

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP03727
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007727
OH
05
0328354
OH
05
0453085
OH
05
0494353
OH
Enumeration date
03/01/2007
Last updated
09/01/2022
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