Healthcare Provider Details

I. General information

NPI: 1841137528
Provider Name (Legal Business Name): STEPHANIE CHRISTENSEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPH CHRIS

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NEVIN AVE
RICHMOND CA
94801-3143
US

IV. Provider business mailing address

3064 E ROCK WREN RD
PHOENIX AZ
85048-8733
US

V. Phone/Fax

Practice location:
  • Phone: 510-307-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95417584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: