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MARCUS STEPHENSON CRNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1700425386
Individual Registrant: MARCUS STEPHENSON CRNP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
108 4TH AVE NE REFORM, AL 35481-2227 US
Tel: 205-375-6251 Fax: --
Tel: 205-375-6251 Fax: --
Contact information for business:
108 4TH AVE NE # A REFORM, AL 35481-2227 US
Tel: 205-375-6251 Fax: --
Tel: 205-375-6251 Fax: --
Registration Information:
NPI: 1700425386
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AL | 1-141024 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
