Most Relevant Information
Provider Data
| NPI Number: | 1003240912 |
| Provider Name: | STEPHANIE MARIE EARLS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 200341667RN |
Most Important Dates
| Enumeration Date: | 08/27/2013 |
| Last Updated: | 08/27/2013 |
Provider Practice Location
342 SE 116TH ST
SOUTH BEACH
OR
973669729
Practice Location Phone/Fax
| Phone: | 5418677866 |
| Fax: |
Provider Mailing Location
342 SE 116TH ST
SOUTH BEACH
OR
973669729
Provider Mailing Phone/Fax
| Phone: | 5418677866 |
| Fax: |