Provider Demographics
NPI:1740802305
Name:STEFFEN, STEPHANIE KING (ARNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:KING
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:563-886-2195
Mailing Address - Fax:563-886-3268
Practice Address - Street 1:56 CEDAR ST
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:IA
Practice Address - Zip Code:52772-1705
Practice Address - Country:US
Practice Address - Phone:563-886-2195
Practice Address - Fax:563-886-3268
Is Sole Proprietor?:No
Enumeration Date:2020-05-17
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA158429363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily