Individual
SHANEL LOREN ALVARADO STADHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6000
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(323) 327-5193
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
104646599
CA
Other
Enumeration date
08/14/2019
Last updated
06/11/2020
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