Individual
ANDREA STAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8635 W 3RD ST STE 295, LOS ANGELES, CA 90048-6166
(310) 385-6064
Mailing address
8767 WILSHIRE BLVD FL 2, BEVERLY HILLS, CA 90211-2714
(310) 423-4938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23174
CA
Other
Enumeration date
08/27/2013
Last updated
04/05/2021
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