Healthcare Provider Details

I. General information

NPI: 1144139858
Provider Name (Legal Business Name): ANGELITA T STEPHENS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

28 GEARY ST STE 650
SAN FRANCISCO CA
94108-5700
US

IV. Provider business mailing address

990 GEARY ST APT 106
SAN FRANCISCO CA
94109-7083
US

V. Phone/Fax

Practice location:
  • Phone: 950-755-4418
  • Fax:
Mailing address:
  • Phone: 850-815-7270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number691727
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number5206306
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: