Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95017675 | CA |
NPI | 1013680982 |
---|---|
Provider Name | Mrs. Stephanie D. Alsteen |
First Address | La Mesa, CA 91942-1680 |
Second Address | San Diego, CA 92123-2701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2021 |
Last Update Date | 27/07/2021 |