Healthcare Provider Details

I. General information

NPI: 1023786340
Provider Name (Legal Business Name): CHRISTINE STEPHENS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NEWPORT CENTER DR STE 300
NEWPORT BEACH CA
92660-7504
US

IV. Provider business mailing address

200 NEWPORT CENTER DR STE 300
NEWPORT BEACH CA
92660-7504
US

V. Phone/Fax

Practice location:
  • Phone: 559-283-4197
  • Fax:
Mailing address:
  • Phone: 559-283-4197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95017541
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: