| Doctor Name: | MS. MARY PAT STENSON |
| NPI Number: | 1780637470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | CA387839 |
| Business Practice Address: | 16111 Plummer St Sepulveda, CA - 913432036 |
| Business Phone Number: | 8188917711 |
| Business Fax Number: | 8188959571 |
| Mailing Address: | 16111 Plummer St, SEPULVEDA |
| State: | CA |
| Postal Code: | 913432036 |
| Phone Number: | 8188917711 |
| Fax Number: | 8188959571 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | CA387839 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |