Individual provider · Type 1 NPI
Andrea L.j. Stephens, N.P.
Gerontology Nurse Practitioner · St. Paul, MN
NPI number
1013109610
Active
Practice location
2500 Como Ave
St. Paul, MN 55108-1460
Fax (651) 641-6295
Mailing address
8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R1403130 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 3059 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1013109610
Andrea L.j. Stephens, N.P.'s National Provider Identifier is 1013109610, issued on Aug 16, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Paul, MN. The record was last updated on Aug 23, 2022.