Theron, Stephanie L

Theron, Stephanie L is an individual health care provider with primary practice located at 701 E El Camino Real , Mountain View CA 94040-2833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Theron, Stephanie L can be contacted via phone (650) 934-7616.

Contact Information

Primary practice address
701 E El Camino Real Mountain View CA 94040-2833
Phone: (650) 934-7616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 118864 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 22691 California

Profile Details

NPI number 1134132483
LBN Legal business name Theron, Stephanie L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Dec 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134132483 NPPES
Colorado MEDICAID 66272319

Popular Providers