Healthcare Provider Details

I. General information

NPI: 1114189040
Provider Name (Legal Business Name): BARBARA JEAN STEHR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DUARTE RD
DUARTE CA
91010-3012
US

IV. Provider business mailing address

1500 DUARTE RD
DUARTE CA
91010-3012
US

V. Phone/Fax

Practice location:
  • Phone: 626-256-4673
  • Fax: 626-301-8256
Mailing address:
  • Phone: 626-256-4673
  • Fax: 626-301-8256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number370192
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: