Individual
ELIZABETH ANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
44250 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1002
(248) 964-6101
(248) 964-9888
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704124681
MI
363LF0000X
Family Nurse Practitioner
4704124681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500F318190
BCBSM
MI
Enumeration date
02/16/2007
Last updated
10/23/2020
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