Individual
CARRIE STAVROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
460 MARKET PL, SAN RAMON, CA 94583-4745
(800) 972-5547
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(800) 972-5547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95000393
CA
Other
Enumeration date
04/10/2014
Last updated
05/29/2020
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