Individual
MRS. GWEN ELIZABETH STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2039 KIMBERWICKE CIR, OVIEDO, FL 32765-7577
(407) 865-2833
Mailing address
2039 KIMBERWICKE CIR, OVIEDO, FL 32765-7577
(407) 865-2833
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1469912
FL
Other
Enumeration date
07/13/2012
Last updated
07/30/2014
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