Individual
AURELIA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 838-4558
(858) 626-5630
Mailing address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 838-4558
(858) 626-5630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
500536
CA
163WD0400X
Diabetes Educator Registered Nurse
2041-0387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500536
RN LICENSE
CA
Enumeration date
01/14/2009
Last updated
10/14/2009
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