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NPI Code Detail

MEDICARE: STEPHANIE MARIE STILWELL CSFA

MEDICARE:   STEPHANIE MARIE STILWELL  CSFA
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
1246ZC0007XSurgical AssistantNV

General Provider Information

NPI Number : 1780543512
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MARIE STILWELL CSFA
Provider Business Mailing Address
First Line : 7620 WINTERTHUR CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-2730
Country : US
Telephone Number : 702-469-3048
Fax Number :
Provider Business Practice Location Address
First Line : 7620 WINTERTHUR CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-2730
Country : US
Telephone Number : 702-469-3048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ STEPHANIE MARIE STILWELL CSFA” Practice Location

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