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Individual

CAROLYN MARIE STEPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
411 LAUREL ST, SUITE 3262, DES MOINES, IA 50314-3017
(515) 643-5100
(515) 643-5150
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 643-5100
(515) 643-5150

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H-052217
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190256
HEALTH ALLIANCE
IA
Enumeration date
02/24/2010
Last updated
12/22/2011
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