Individual
STEPHANIE MARIE JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-5111
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(504) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2306032
MN
163W00000X
Registered Nurse
Primary
N2306032
MN
363L00000X
Nurse Practitioner
Primary
13784
MN
363LP0200X
Pediatric Nurse Practitioner
13784
MN
Other
Enumeration date
02/27/2023
Last updated
03/09/2026
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