Dourthe, Stacie B

Dourthe, Stacie B is an sole proprietor health care provider with primary practice located at 4346 Empress Ave , Encino CA 91436-3507. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dourthe, Stacie B can be contacted via phone (805) 797-6495.

Contact Information

Primary practice address
4346 Empress Ave Encino CA 91436-3507
Phone: (805) 797-6495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 577105 California
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 2200 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95028676 California

Profile Details

NPI number 1861112203
LBN Legal business name Dourthe, Stacie B
Credentials MSN, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2022
Last updated Jan 23rd, 2024 - 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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