Deslate, Stephanie

Deslate, Stephanie is an individual health care provider with primary practice located at 12675 La Mirada Blvd Ste 220 , La Mirada CA 90638-2235. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Deslate, Stephanie can be contacted via phone (562) 967-2273.

Contact Information

Primary practice address
12675 La Mirada Blvd Ste 220 La Mirada CA 90638-2235
Phone: (562) 967-2273
Fax: (562) 967-2911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95015073 California
Nursing Service Providers / Registered Nurse 163W00000X 95114124 California

Profile Details

NPI number 1962089508
LBN Legal business name Deslate, Stephanie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2021
Last updated Aug 21st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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