Mr Nicholas Gene Stephens, LPN | |
400 Annandale Blvd, Annandale, MN 55302-3141 | |
(651) 259-3850 | |
Not Available |
Full Name | Mr Nicholas Gene Stephens |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 400 Annandale Blvd, Annandale, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245745157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 710329 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Gene Stephens, LPN 1044 15th Ave S, Saint Cloud, MN 56301-5208 Ph: (320) 224-3100 | Mr Nicholas Gene Stephens, LPN 400 Annandale Blvd, Annandale, MN 55302-3141 Ph: (651) 259-3850 |
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