MEDICARE: MS. STEPHANIE HWA RN, NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH1000X	Hospice Registered Nurse	847802	CA
2	363LG0600X	Gerontology Nurse Practitioner	95000733	CA

General Provider Information

NPI Number	:	1477894780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE HWA RN, NP

Provider Business Mailing Address
First Line	:	4241 W KLING ST APT 30
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-3721
Country	:	US
Telephone Number	:	714-469-3298
Fax Number	:	818-847-3795

Provider Business Practice Location Address
First Line	:	1950 SUNNY CREST DR STE 2600
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92835-3644
Country	:	US
Telephone Number	:	714-446-5590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2013
Last Update Date	:	02/19/2026

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