Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A170493 | CA |
N | 111NI0900X | Internist | A170493 | CA |
Y | 207RR0500X | Rheumatology | A170493 | CA |
NPI | 1033505581 |
---|---|
Provider Name | Dr. Nicholas F.h. Stienstra |
First Address | Monterey, CA 93940-5736 |
Second Address | Monterey, CA 93940-5736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2015 |
Last Update Date | 09/04/2021 |