Organization
CHAPA-DE INDIAN HEALTH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH JEAN STEVENSON RN PHN BSN CDE (NURSE EDUCATOR)
(530) 887-2840
Entity
Organization
Contact information
Practice address
11670 ATWOOD RD, AUBURN, CA 95603-9522
(530) 887-2840
(530) 887-2202
Mailing address
11670 ATWOOD RD, AUBURN, CA 95603-9522
(530) 887-2840
(530) 887-2202
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
354030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354030
RN LICENSE NUMBER
CA
Enumeration date
03/21/2007
Last updated
11/17/2008
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