Stephanie Powers

NPI 1013290311 · on the registry since 2011 · sole proprietor

Practice

Address: 4415 W 36 1/2 St
St Louis Park, MN 55416
Phone: (952) 927-9717
Organisation at this address: Villas At The Park Llc
Extendicare Homes, Inc.
St. Louis Park Opco Ii, Llc
Fmg West 36 1/2 Street Minnesota Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota