Dupaul, Stephanie L

Dupaul, Stephanie L is an individual health care provider with primary practice located at 640 Jackson St Mail Stop 11503P, St Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dupaul, Stephanie L can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Mail Stop 11503P St Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-3048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 13203 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R1417786 Minnesota

Profile Details

NPI number 1285601377
LBN Legal business name Dupaul, Stephanie L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285601377 NPPES
Wisconsin MEDICAID 1285601377
Wisconsin MEDICAID 690951500

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