Marley Ann Stephan, FNP is a
Nurse Practitioner - Family based in Licking, Missouri. Marley Ann Stephan is licensed to practice in Missouri (license number 2022012951) and her current practice location is
255 W Highway 32, Licking, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 674-4470.
NPI number for Marley Ann Stephan is 1104568914 and her current mailing address is 1126 Highway P, Salem, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104568914.
Provider's Profile
| Full Name | Marley Ann Stephan |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 255 W Highway 32, Licking, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104568914
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 04/12/2022
Medical Identifiers
Medical identifiers for Marley Ann Stephan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104568914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2022012951 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marley Ann Stephan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marley Ann Stephan, FNP
1126 Highway P,
Salem, MO 65560-8267
Ph: (573) 674-4470 | Marley Ann Stephan, FNP
255 W Highway 32,
Licking, MO 65542-9076
Ph: (573) 674-4470 |
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