MEDICARE: STEPHANIE MARIE NEWKIRK NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	A169362	IA

General Provider Information

NPI Number	:	1427783828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MARIE NEWKIRK NP

Provider Business Mailing Address
First Line	:	2701 5TH ST
Second Line	:
City	:	EMMETSBURG
State	:	IA
Zip	:	50536-1224
Country	:	US
Telephone Number	:	712-240-2160
Fax Number	:

Provider Business Practice Location Address
First Line	:	2704 ENTERPRISE AVE
Second Line	:
City	:	SPIRIT LAKE
State	:	IA
Zip	:	51360-1073
Country	:	US
Telephone Number	:	712-336-2728
Fax Number	:	712-336-2842

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	05/11/2026

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