Individual
DR. TANYA DENISE STEVENSON-GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(858) 444-7007
(619) 556-8627
Mailing address
13988 ROYAL MELBOURNE SQ, SAN DIEGO, CA 92128-3646
(858) 444-7007
(619) 556-8627
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95010556
CA
Other
Enumeration date
05/09/2019
Last updated
03/08/2021
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