Individual
MRS. STEPHANIE MARION STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
2500 BATES AVE STE B, CONCORD, CA 94520-1208
(925) 608-5134
(925) 608-5160
Mailing address
2500 BATES AVE STE B, CONCORD, CA 94520-1208
(925) 608-5134
(925) 608-5160
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95032528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95032528
BOARD OF REGISTERED NURSING
CA
01
—
D8528490
DRIVER'S LICENSE
CA
Enumeration date
12/04/2018
Last updated
12/04/2018
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