person
Mr. Stephen P Deporter, APN
Family Nurse Practitioner in Davenport, Iowa
NPI 1639174519

Stephen P Deporter is a Family Nurse Practitioner based in Davenport, IA and is specialized in Family. Stephen P Deporter practices in Davenport, IA and has the professional credentials of APN. The NPI Number for Stephen P Deporter is 1639174519 and holds a License No. A-081354 (Iowa).

The current practice location address for Stephen P Deporter is 1227 E Rusholme St, Davenport, IA and can be reached out via phone at 563-421-1000.

Location: 1227 E Rusholme St, Davenport, IA, 52803-2459
person
Provider Profile Details
NPI Number
1639174519
Provider Name
Stephen P Deporter
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
1227 E Rusholme St, Davenport, IA, 52803-2459
Phone Number
563-421-1000
Fax Number
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
056857 01 HEALTH ALLIANCE
185922 01 IOWA HEALTH SOLUTIONS
IL01G2 01 JOHN DEERE HEALTH PLAN
4796890020 01 DMERC
institution
Provider Business Practice Location Address Details
Address
1227 E Rusholme St
City
State
Zip
52803-2459
Phone Number
563-421-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1227 E Rusholme St
City
State
Zip
52803-2459
Phone Number
563-421-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A-081354 (Iowa)
Definition
Definition to come...
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