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Individual

CAMERON STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-6498
(208) 488-4702
Mailing address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-6498
(208) 488-4702

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
3009120
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
75884
ID

Other

Enumeration date
08/22/2011
Last updated
02/04/2026
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