Individual
STEPHANIE NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 GEER RD STE 120, TURLOCK, CA 95382-2456
(209) 664-8044
Mailing address
1436 HACKETT RD, CERES, CA 95307-9572
(406) 899-3811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95331301
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95331301
CA
Other
Enumeration date
06/05/2023
Last updated
06/02/2025
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