Individual
CARMEN MARIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-PMHNP
Contact information
Practice address
1672 S WOODSAGE AVE, MERIDIAN, ID 83642-8329
(208) 515-2273
Mailing address
723 W PRODUCER DR, MERIDIAN, ID 83646-6158
(208) 283-8784
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
77312
ID
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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