STEPHANIE REVORD, APRN
Nurse Practitioner
Active
Individual
NPI: 1174992846
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Women's Health | 363LW0102X | No | F141666 (IA) |
| Nurse Practitioner | 363L00000X | Yes | F141666 (IA) |
Frequently Asked Questions
NPI 1174992846 is the National Provider Identifier for STEPHANIE REVORD, APRN, a Nurse Practitioner provider located in Council Bluffs, IA. This NPI was enumerated on September 23, 2015.
STEPHANIE REVORD, APRN practices at 201 RIDGE ST STE 312, Council Bluffs, IA 51503.
Quick Facts
- NPI
- 1174992846
- Type
- Individual
- Enumerated
- Sep 23, 2015
- Last Updated
- Jul 3, 2019
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