Doctor Name: | MELISSA CHRISTINE STEPHENS |
NPI Number: | 1033598230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | 52504 |
Business Practice Address: | 2700 Dolbeer St Eureka, CA - 955014736 |
Business Phone Number: | 7074458121 |
Business Fax Number: | |
Mailing Address: | 2560 Munson St, EUREKA |
State: | CA |
Postal Code: | 955013365 |
Phone Number: | 7078329439 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2015 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 52504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |