Stephenson, Cameron

Stephenson, Cameron is an individual health care provider with primary practice located at 37 S 2Nd E , Rexburg ID 83440-1906. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Stephenson, Cameron can be contacted via phone (208) 356-0234.

Contact Information

Primary practice address
37 S 2Nd E Rexburg ID 83440-1906
Phone: (208) 356-0234
Fax: (208) 488-4702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3009120 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-132527 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 75884 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 178734 Tennessee

Profile Details

NPI number 1790065738
LBN Legal business name Stephenson, Cameron
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2011
Last updated Apr 29th, 2024 - 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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