Individual provider · Type 1 NPI

Stephanie R. Revord, APRN

Nurse Practitioner · Council Bluffs, IA

NPI number 1174992846 Active

Practice location

201 Ridge St Ste 312
Council Bluffs, IA 51503-4643

Call (712) 396-7880 Map

Fax (712) 396-7885

Mailing address

PO Box 3755
Omaha, NE 68103-0755

Specialties and licenses

Taxonomy	Code	License
Women's Health Nurse Practitioner	363LW0102X	F141666 (IA)
Nurse Practitioner Primary	363L00000X	F141666 (IA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

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About NPI 1174992846

Stephanie R. Revord, APRN's National Provider Identifier is 1174992846, issued on Sep 23, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Council Bluffs, IA. The record was last updated on Jul 3, 2019.