Individual provider · Type 1 NPI

Mariah Ann Stephenson

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1063032829 Active · reactivated Jun 28, 2021

Practice location

3900 Bethel Dr
St. Paul, MN 55112-6902

Call (651) 315-3688 Map

Mailing address

15137 Danville Ave W
Rosemount, MN 55068

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063032829

Mariah Ann Stephenson's National Provider Identifier is 1063032829, issued on Apr 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 28, 2021.