Individual
STEPHANIE HETREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4860 Y ST STE 3740, SACRAMENTO, CA 95817-2307
(916) 734-4300
Mailing address
3301 C ST STE 1500, SACRAMENTO, CA 95816-3371
(847) 630-4779
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
041380159
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
95012070
CA
Other
Enumeration date
01/20/2015
Last updated
02/20/2020
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