Organization
RIVERSIDE FAMILY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L STEPHENS FNP-C (OWNER/OPERATOR)
(812) 291-5993
Entity
Organization
Contact information
Practice address
328 N 2ND ST, SUITE 102, VINCENNES, IN 47591
(812) 291-5993
(812) 316-1117
Mailing address
PO BOX 436, 328 N 2ND ST, SUITE 102, VINCENNES, IN 47591
(812) 291-5993
(812) 316-1117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28140893A
IN
Other
Enumeration date
10/19/2015
Last updated
11/13/2015
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