Individual
STEPHANIE KATE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(661) 645-2265
Mailing address
4650 W SUNSET BLVD, MAILSTOP #82, LOS ANGELES, CA 90027-6062
(323) 361-2207
(323) 361-1109
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95005378
CA
Other
Enumeration date
12/07/2016
Last updated
02/08/2019
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