Revord, Stephanie R

Revord, Stephanie R is an individual health care provider with primary practice located at 201 Ridge St Ste 312 , Council Bluffs IA 51503-4643. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Revord, Stephanie R can be contacted via phone (712) 396-7880.

Contact Information

Primary practice address
201 Ridge St Ste 312 Council Bluffs IA 51503-4643
Phone: (712) 396-7880
Fax: (712) 396-7885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F141666 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F141666 Iowa

Profile Details

NPI number 1174992846
LBN Legal business name Revord, Stephanie R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Jul 3rd, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174992846 NPPES
Nebraska MEDICAID 10026211300
Nebraska MEDICAID 10026480117
Nebraska MEDICAID 1174992846

Popular Providers