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NPI Code Detail

MEDICARE: MRS. KAREN STEPHENSON RN

MEDICARE: MRS. KAREN STEPHENSON RN
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
1163W00000XRegistered Nurse458756CA

General Provider Information

NPI Number : 1750425989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN STEPHENSON RN
Provider Business Mailing Address
First Line : 2620 26TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1907
Country : US
Telephone Number : 510-437-2363
Fax Number :
Provider Business Practice Location Address
First Line : 2620 26TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1907
Country : US
Telephone Number : 510-437-2363
Fax Number : 510-437-2366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 03/13/2013

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