Individual
MARISA LAUREN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
117 MILL RD # 117, WILMINGTON, DE 19806-2174
(603) 325-0463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0068780
DE
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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