Kusser, Stephanie M

Kusser, Stephanie M is an sole proprietor health care provider with primary practice located at 1665 Scenic Ave , Costa Mesa CA 92626-1445. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kusser, Stephanie M can be contacted via phone (310) 214-5722.

Contact Information

Primary practice address
1665 Scenic Ave Costa Mesa CA 92626-1445
Phone: (310) 214-5722
Fax: (310) 793-3756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 564744 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 18511 California

Profile Details

NPI number 1265671473
LBN Legal business name Kusser, Stephanie M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2009
Last updated Aug 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265671473 NPPES
California Other 564744 RN LICENSE
California Other G1108185 RN LICENSE
California Other 3054 RN LICENSE

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