Individual
MARYELLEN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MS PMHNP
Contact information
Practice address
2520 GENESEE ST, UTICA, NY 13502-5814
(315) 272-2129
(315) 272-2177
Mailing address
2520 GENESEE ST, UTICA, NY 13502-5814
(315) 272-2129
(315) 272-2177
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40-401595
NY
Other
Enumeration date
06/06/2013
Last updated
04/20/2023
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