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General NPI Number Information
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NPI Number | 1568963411
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Entity Type | Individual
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Provider Name | VANESSA JOY STOWASSER NP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 27700 MEDICAL CENTER RD
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6426
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Country | US
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Telephone | 949-364-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 153 JARIPOL CIR
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City | RANCHO MISSION VIEJO
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State | CA
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Zip | 92694-1583
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Country | US
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Telephone | 714-878-5269
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95008601
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License Number State | CA
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