Individual
MRS. STACEY MARIE NEGRETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
25485 MEDICAL CENTER DR, SUITE 220, MURRIETA, CA 92562-6900
(951) 461-9300
Mailing address
3860 CALLE FORTUNADA, SUITE 200, SAN DIEGO, CA 92123-4800
(858) 636-4800
(858) 636-4319
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000089
CA
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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