NPI 1780222190

Joshua Carl Stephenson

Practitioner Attendant Care Provider Weiser, ID

Practice location

Address: 30 Maple Dr, Weiser, ID 83672-1566
Phone: (208) 405-3763
Mailing address: 616 W Commercial St, Weiser, ID 83672-1631

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Idaho →

Registry record

NPI: 1780222190
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2019
Record last updated: 16 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.