Individual
ELLEN DIANE STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1025 10TH AVE NE, DEER RIVER, MN 56636-8703
(218) 246-8275
Mailing address
4212 GRAND AVENUE, EH WEST DULUTH CLINIC, DULUTH, MN 55807-2737
(218) 786-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R185045-3
MN
Other
Enumeration date
08/26/2011
Last updated
02/22/2017
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