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Marley Ann Stephan, FNP
Family Nurse Practitioner in Licking, Missouri
NPI 1104568914

Marley Ann Stephan is a Family Nurse Practitioner based in Salem, MO and is specialized in Family. Marley Ann Stephan practices in Licking, MO and has the professional credentials of FNP. The NPI Number for Marley Ann Stephan is 1104568914 and holds a License No. 2022012951 (Missouri).

The current practice location address for Marley Ann Stephan is 255 W Highway 32, Licking, MO and can be reached out via phone at 573-674-4470.

Location: 255 W Highway 32, Licking, MO, 65560-8267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104568914
Provider Name
Marley Ann Stephan
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
255 W Highway 32, Licking, MO, 65560-8267
Phone Number
573-674-4470
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
255 W Highway 32
City
Licking
State
Missouri
Zip
65542-9076
Phone Number
573-674-4470
Fax Number
person
Provider Business Mailing Address Details
Address
255 W Highway 32
City
Licking
State
Missouri
Zip
65542-9076
Phone Number
573-674-4470
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2022012951 (Missouri)
Definition
Definition to come...
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