Individual
STEPHANIE K NURRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3521
Mailing address
860 LANGLEY CT, GRAYSLAKE, IL 60030-3423
(517) 896-8703
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
219035
NC
163WP0200X
Pediatric Registered Nurse
4704243963REL24001
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
209.029263
IL
Other
Enumeration date
02/03/2012
Last updated
03/14/2024
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