Individual provider · Type 1 NPI
Marley Ann Stephan, FNP
Family Nurse Practitioner · Licking, MO
NPI number
1104568914
Active
Practice location
255 W Highway 32
Licking, MO 65542-9076
Mailing address
1126 Highway P
Salem, MO 65560-8267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2022012951 (MO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Licking
About NPI 1104568914
Marley Ann Stephan, FNP's National Provider Identifier is 1104568914, issued on Apr 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Licking, MO. The record was last updated on Apr 12, 2022.