Individual
MRS. NATALIE ANN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 NE GLEN OAK AVE, PEORIA, IL 61603-3255
(309) 308-5072
(309) 308-5095
Mailing address
9166 US HIGHWAY 150, CARLOCK, IL 61725-7504
(630) 254-8184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021545
IL
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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