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SHAUN STEVENSON NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1598359788

Individual Registrant:
 SHAUN  STEVENSON NP
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: --

Contact information for business:
2115 N TUSTIN ST  ORANGE, CA 92865-3745 US
Tel: 714-921-3870  Fax: --

Registration Information:
NPI: 1598359788
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95017687

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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