Individual
STACY ELIZABETH SPHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
441 N. MAIN ST, MODOC COUNTY BEHAVIORAL HEALTH, ALTURAS, CA 96101-3457
(530) 233-6312
(530) 233-6339
Mailing address
441 N MAIN ST, ALTURAS, CA 96101-3457
(530) 233-6312
(530) 233-6339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
753317
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017532
CA
Other
Enumeration date
11/18/2014
Last updated
02/13/2023
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