Individual
MS. STEPHANIE MORTON MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3030 CHILDRENS WAY, SUITE 202, SAN DIEGO, CA 92123-4232
(858) 966-8030
(858) 966-8032
Mailing address
15534 OAKSTAND RD, POWAY, CA 92064-2262
(858) 966-8030
(858) 966-8032
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11137
NURSE PRACTITIONER
CA
01
—
284719
RN
CA
Enumeration date
05/17/2007
Last updated
07/08/2007
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