MRS. Stephanie Rae Datema, RN is an emergency registered nurse in Gallup, NM. MRS. Stephanie Rae Datema, RN NPI is 1013344779. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
516 E NIZHONI BLVD
GALLUP, NM
ZIP 87301-748
Phone: (505) 722-1000
The enumeration date for this NPI number is 9/26/2013 and was last updated on 9/26/2013.