Individual
DR. STEPHANIE J NANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
(714) 888-6860
(714) 888-6867
Mailing address
300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
(714) 888-6860
(714) 888-6867
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184576
ANTHEM BCBS
IN
05
—
100164800A
—
IN
01
—
4128970001
MEDICARE DME
IN
01
—
480008699
RAILROAD MEDICARE
IN
Enumeration date
10/10/2006
Last updated
08/05/2010
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