MR. Stephen P Deporter, APN

NPI #1639174519 in Davenport, Iowa

Provider Information

NPI Number
1639174519
Entity Type
Individual
Name
MR. Stephen P Deporter, APN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
APN
Enumeration Date
Jun 16, 2005
Last Updated
May 6, 2021

Practice Location

Address
1227 E RUSHOLME ST
State
Iowa
ZIP Code
52803-2459
Phone
(563) 421-1000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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