| Doctor Name: | MRS. KIMBERLY RAE STALNAKER |
| NPI Number: | 1023482023 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 95003905 |
| Business Practice Address: | 3998 Vista Way Ste F Oceanside, CA - 920564514 |
| Business Phone Number: | 7606304678 |
| Business Fax Number: | 7607241614 |
| Mailing Address: | 420 S Nevada St, OCEANSIDE |
| State: | CA |
| Postal Code: | 920544039 |
| Phone Number: | 7609789706 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2015 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 95003905 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |