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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
282857 | CA | Nursing Service Providers |
Street Address |
1772 GALLOWAY LN |
City | CORONA |
State | CA |
Zip Code | 92881-4516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
Find all providers in zip 92881 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
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1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
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1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
Find all providers with the same taxonomy |
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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.