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NPI Code Detail

MEDICARE: CHRISTINE LYNN KERN STEFFEN CNM

MEDICARE: CHRISTINE LYNN KERN STEFFEN CNM
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
1367A00000XAdvanced Practice Midwife148895-32WI

General Provider Information

NPI Number : 1518367663
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LYNN KERN STEFFEN CNM
Provider Business Mailing Address
First Line : 1614 RUTLEDGE ST
Second Line :
City : MADISON
State : WI
Zip : 53704-5539
Country : US
Telephone Number : 608-219-0602
Fax Number :
Provider Business Practice Location Address
First Line : 2955 TRIVERTON PIKE DR
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-5807
Country : US
Telephone Number : 608-219-0602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/26/2014

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