Stevens, Cori Lea

Stevens, Cori Lea is an sole proprietor health care provider with primary practice located at 5 Maoli Dr , San Rafael CA 94903-7004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stevens, Cori Lea can be contacted via phone (415) 202-5041.

Contact Information

Primary practice address
5 Maoli Dr San Rafael CA 94903-7004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95023382 California

Profile Details

NPI number 1912600131
LBN Legal business name Stevens, Cori Lea
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2023
Last updated Mar 18th, 2024 - about 9 months 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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