Individual
MARIA THERESA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-8000
Mailing address
PO BOX 1428, LONG BEACH, CA 90801-1428
(562) 933-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
333974
CA
164W00000X
Licensed Practical Nurse
Primary
1307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307
NURSE PRACT CERT
CA
01
—
333974
BOARD REG NURSES
CA
05
—
HSP40727F
—
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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