Individual
MARY GWEN STEFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.P.
Contact information
Practice address
777 ALGOMA BLVD, OSHKOSH, WI 54901-3534
(920) 424-2424
Mailing address
429 REDMAN DR, RIPON, WI 54971-1268
(920) 748-6332
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
74614-030
WI
163WC1400X
College Health Registered Nurse
907-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43994300
—
WI
Enumeration date
07/18/2006
Last updated
07/09/2007
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