Provider Demographics
NPI:1518324797
Name:STEPHENS, VIOLET (CPM)
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18156 COUNTY ROAD 7270
Mailing Address - Street 2:
Mailing Address - City:NEWBURG
Mailing Address - State:MO
Mailing Address - Zip Code:65550-8935
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18156 COUNTY ROAD 7270
Practice Address - Street 2:
Practice Address - City:NEWBURG
Practice Address - State:MO
Practice Address - Zip Code:65550-8935
Practice Address - Country:US
Practice Address - Phone:573-303-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife