Shelley R Stepan in Bloomington - Physician Assistant

Shelley R Stepan - NPI 1770550741

Shelley R Stepan is a Physician Assistant in Bloomington, Minnesota. Shelley R Stepan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shelley R Stepan is 1770550741. The last update date is 2016-12-16.

Shelley R Stepan's current location address is 8170 33rd Avenue South, Bloomington, Minnesota. You can contact this provider via phone number 9528837172 and fax number 9528835395. The mailing address for Shelley R Stepan is 8170 33rd Avenue South, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelley R Stepan
Address 8170 33rd Avenue South, Bloomington, Minnesota
Phone Number 9528837172
Fax Number 9528835395
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1770550741
Provider Enumeration Date 2006-03-08
Last Updated Date 2016-12-16

Provider Mailing Address Detail

Address 8170 33rd Avenue South
City Bloomington
State Minnesota (MN)
Post Code 554251672
Phone Number 9528837172
Fax Number 9528835395

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 9875
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
206005100 MN --

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FAQs about Shelley R Stepan

What is the unique 10-digit identifier code assigned to Shelley R Stepan by the Centers for Medicare & Medicaid Services?

The Shelley R Stepan has been issued the NPI (National Provider Identifier) 1770550741 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

What is Shelley R Stepan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shelley R Stepan's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

What is Shelley R Stepan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shelley R Stepan is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770550741 to Shelley R Stepan?

The Centers for Medicare & Medicaid Services assigned the 1770550741 to Shelley R Stepan on 2006-03-08.

When was the information related to Shelley R Stepan most recently updated or refreshed?

The details pertaining to the Shelley R Stepan, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-12-16.

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