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SHAUN STEVENSON NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1598359788
Individual Registrant: SHAUN STEVENSON NP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2115 N TUSTIN ST ORANGE, CA 92865-3745 US
Tel: 714-921-3870 Fax: --
Tel: 714-921-3870 Fax: --
Contact information for business:
2115 N TUSTIN ST ORANGE, CA 92865-3745 US
Tel: 714-921-3870 Fax: --
Tel: 714-921-3870 Fax: --
Registration Information:
NPI: 1598359788
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | 95017687 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
