Stefanopoulos, Stacy M

Stefanopoulos, Stacy M is an individual health care provider with primary practice located at 1648 E Herndon Ave Suite 102, Fresno CA 93720-3381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Stefanopoulos, Stacy M can be contacted via phone (559) 256-7700.

Contact Information

Primary practice address
1648 E Herndon Ave Suite 102 Fresno CA 93720-3381
Phone: (559) 256-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 15195 California

Profile Details

NPI number 1982647913
LBN Legal business name Stefanopoulos, Stacy M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 30th, 2021 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1982647913 NPPES
California Other 15195 NURSE PRACTITIONER CERT.

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