Individual
STEPHANIE SHEVANNE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10323 SANTA MONICA BLVD, LOS ANGELES, CA 90025-6071
(310) 340-0089
(310) 469-9073
Mailing address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
(310) 361-8043
(310) 986-8241
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035782
CA
Other
Enumeration date
05/07/2025
Last updated
04/10/2026
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