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Individual
MARIA THERESA STEPHENSON
Active
Individual
MARIA THERESA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
333974
CA
164W00000X
Licensed Practical Nurse
Primary
1307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307
NURSE PRACT CERT
CA
01
—
333974
BOARD REG NURSES
CA
05
—
HSP40727F
—
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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