Provider Demographics
NPI:1083912737
Name:STEPKA, DENYSE DENYLLE (ANP)
Entity Type:Individual
Prefix:MRS
First Name:DENYSE
Middle Name:DENYLLE
Last Name:STEPKA
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MISS
Other - First Name:DENYSE
Other - Middle Name:DENYLLE
Other - Last Name:GUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:3621 SOUTH STATE STREET
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5256
Practice Address - Country:US
Practice Address - Phone:734-936-4000
Practice Address - Fax:734-763-4585
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704249393363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health