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NPI Code Detail

MEDICARE: STEPHANIE LEE DUPREE ANP-C, PMHNP-BC

MEDICARE: STEPHANIE LEE DUPREE ANP-C, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner9074835-4405UT

General Provider Information

NPI Number : 1487931416
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LEE DUPREE ANP-C, PMHNP-BC
Provider Business Mailing Address
First Line : 45 W SEGO LILY DR STE 312
Second Line :
City : SANDY
State : UT
Zip : 84070-3643
Country : US
Telephone Number : 801-676-9452
Fax Number :
Provider Business Practice Location Address
First Line : 45 W SEGO LILY DR STE 312
Second Line :
City : SANDY
State : UT
Zip : 84070-3643
Country : US
Telephone Number : 801-676-9452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2011
Last Update Date : 09/10/2024

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Directions to “ STEPHANIE LEE DUPREE ANP-C, PMHNP-BC” Practice Location

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