Individual
MRS. STEPHANIE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4739
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201806293NP-PP
OR
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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