Stevens, Antoinette Susan

Stevens, Antoinette Susan is an sole proprietor health care provider with primary practice located at 3744 Bluff Pl , San Pedro CA 90731-7006. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Stevens, Antoinette Susan can be contacted via phone (424) 772-1649.

Contact Information

Primary practice address
3744 Bluff Pl San Pedro CA 90731-7006
Phone: (424) 772-1649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 235258 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 235258 California
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 235258 California

Profile Details

NPI number 1922340546
LBN Legal business name Stevens, Antoinette Susan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2013
Last updated Mar 21st, 2013 - about 11 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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