Individual
MR. MICHAEL SEAN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
11200 GOVERNOR MANLY WAY STE 309, RALEIGH, NC 27614-7375
(919) 562-9410
(919) 562-2948
Mailing address
PO BOX 1107, WAKE FOREST, NC 27588-1107
(919) 562-9410
(919) 562-9425
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004332
NC
Other
Enumeration date
06/14/2006
Last updated
01/21/2019
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