Most Relevant Information
Provider Data
| NPI Number: | 1003016932 |
| Provider Name: | LINDA JEAN STEPHAN CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 176B00000X |
| Specialty: | Midwife |
| License Number: | 25ME00044401 |
Most Important Dates
| Enumeration Date: | 07/19/2007 |
| Last Updated: | 03/02/2012 |
Provider Practice Location
6450 38TH AVE N
SUITE 200
SAINT PETERSBURG
FL
33710
Practice Location Phone/Fax
| Phone: | 7273446060 |
| Fax: | 7273475586 |
Provider Mailing Location
6450 38TH AVE N
SUITE 200
SAINT PETERSBURG
FL
33710
Provider Mailing Phone/Fax
| Phone: | 7273446060 |
| Fax: | 7273475586 |