MRS. SUE CAMILLE ST. VINCENT-STOLAR


Address: 1772 Galloway Ln, Corona, CA 92881-4516
Phone: 9512788183

MRS. SUE CAMILLE ST. VINCENT-STOLAR (NPI# 1629258439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629258439
Entity Type Individual
Full Name MRS. SUE CAMILLE ST. VINCENT-STOLAR
Credential RN
Practice Address 1772 Galloway Ln
Corona
CA 92881-4516
Mailing Address 1627 S Hargrave St
Banning
CA 92220-6169
Practice Telephone 9512788183
Practice Fax Number 9518982776
Mailing Telephone 9519227728
Mailing Fax Number 9519227730
Enumeration Date 2007-11-08
Last Update Date 2007-11-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
282857 CA Nursing Service Providers

Office Location

Street Address 1772 GALLOWAY LN
City CORONA
State CA
Zip Code 92881-4516

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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CORONA
Zip Code 92881

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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