Wan, Stella

Wan, Stella is an individual health care provider with primary practice located at 13423 Treasure Way , Chino Hills CA 91709-1214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wan, Stella can be contacted via phone (310) 413-3568.

Contact Information

Primary practice address
13423 Treasure Way Chino Hills CA 91709-1214
Phone: (310) 413-3568
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95007150 California

Profile Details

NPI number 1861918948
LBN Legal business name Wan, Stella
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2017
Last updated Aug 20th, 2017 - about 9 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 1861918948 NPPES
Other AG06170323 AGNP CERTIFICATION
Other 95007150 AGNP CERTIFICATION

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