Healthcare Provider Details

I. General information

NPI: 1679424303
Provider Name (Legal Business Name): STEPHANIE DUFF RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 HERITAGE AVE
EARLHAM IA
50072-8646
US

IV. Provider business mailing address

1251 HERITAGE AVE
EARLHAM IA
50072-8646
US

V. Phone/Fax

Practice location:
  • Phone: 515-313-5395
  • Fax:
Mailing address:
  • Phone: 515-313-5395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number109696
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number109696
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number109696
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: