Individual
STEPHANIE L THERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 SAN JOSE ST, SALINAS, CA 93901-3901
(831) 758-8223
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 242-8394
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
118864
CO
363LW0102X
Women's Health Nurse Practitioner
Primary
22691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66272319
—
CO
Enumeration date
08/15/2006
Last updated
03/24/2025
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