Wan, Stella
Wan, Stella is an individual health care provider with primary practice located at 13423 Treasure Way , Chino Hills CA 91709-1214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wan, Stella can be contacted via phone (310) 413-3568.Contact Information
Primary practice address
13423 Treasure Way
Chino Hills CA 91709-1214
Phone: (310) 413-3568
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 95007150 | California |
Profile Details
NPI number | 1861918948 |
---|---|
LBN Legal business name | Wan, Stella |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2017 |
Last updated | Aug 20th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861918948 | NPPES |
Other | AG06170323 | AGNP CERTIFICATION | |
Other | 95007150 | AGNP CERTIFICATION |
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