Individual
JUDY ANN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16764 PIENZA CT, RIVERSIDE, CA 92503-9728
(951) 257-4007
Mailing address
16764 PIENZA CT, RIVERSIDE, CA 92503-9728
(424) 832-0082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
369555
CA
163WC0400X
Case Management Registered Nurse
369555
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
369555
CA
163WP0200X
Pediatric Registered Nurse
369555
CA
Other
Enumeration date
11/22/2008
Last updated
01/10/2018
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