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Organization

CALIFORNIA EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY M. STEFANOPOULOS RN, ACNP, BC (ACUTE CARE NURSE PRACTITIONER)
(559) 675-5520
Entity
Organization

Contact information

Practice address
1250 E ALMOND AVE, MADERA, CA 93637-5606
(559) 675-5520
Mailing address
5738 N VAN NESS BLVD, FRESNO, CA 93711-1203
(559) 977-7644

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
15195
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
568186
BRN #
CA
Enumeration date
10/20/2005
Last updated
08/22/2020
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