Stephens, Lynn Marie

Stephens, Lynn Marie is an individual health care provider with primary practice located at 13171 Mindanao Way , Marina Del Rey CA 90292-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stephens, Lynn Marie can be contacted via phone (310) 821-8908.

Contact Information

Primary practice address
13171 Mindanao Way Marina Del Rey CA 90292-6307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5479 California

Profile Details

NPI number 1164445532
LBN Legal business name Stephens, Lynn Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 10th, 2023 - about last year

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 1164445532 NPPES
California MEDICAID RN388046

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