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Individual

STACY M STEFANOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1648 E HERNDON AVE, SUITE 102, FRESNO, CA 93720-3381
(559) 256-7700
Mailing address
1648 E HERNDON AVE, SUITE 102, FRESNO, CA 93720-3381
(559) 256-7700

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
15195
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15195
NURSE PRACTITIONER CERT.
CA
Enumeration date
06/14/2006
Last updated
12/30/2021
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