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Individual

MRS. STEPHANIE ANN BELLCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-7907
(712) 464-7412
Mailing address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-7907
(712) 464-7412

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117454
IA
363LF0000X
Family Nurse Practitioner
Primary
A-117454
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G164839
IA

Other

Enumeration date
07/12/2011
Last updated
12/03/2021
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