Mariah Ann Stephenson
Student in an Organized Health Care Education/Training Program in Saint Paul, MN. Individual provider (NPI-1).
NPI number1063032829
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1063032829
- Entity type
- Individual (NPI-1)
- Name
- Mariah Ann Stephenson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3900 Bethel DrSaint Paul, MN 55112-6902
Phone 651-315-3688
Mailing address
15137 Danville Ave WRosemount, MN 55068
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All 211 Student in an Organized Health Care Education/Training Program providers in Saint Paul · All 12,912 providers in Saint Paul
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