Individual
DONNA KATHLEEN STACHOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NP-C, CEN
Contact information
Practice address
7675 MISSION VALLEY RD, SAN DIEGO, CA 92108-4429
(619) 876-4268
Mailing address
704 RIVER ROCK RD, CHULA VISTA, CA 91914-2429
(267) 971-7976
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
649059
CA
363LF0000X
Family Nurse Practitioner
Primary
20897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20897
BOARD OF NURSING - NP CERTIFICATE
CA
Enumeration date
04/08/2019
Last updated
04/08/2019
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