Individual
MS. STEPHANIE ANN MCVAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601
(541) 841-8110
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 883-3471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099000516RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
099000516RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201507096NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500697937
—
OR
Enumeration date
11/08/2010
Last updated
07/29/2024
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