| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE TEJADA | 1316546856 | 2020-10-24 |
Stephanie Tejada is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316546856. Registration indicates Stephanie Tejada is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered) (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Stephanie Tejada |
| Practice Office Address | 2540 EAST ST CONCORD, CA US |
| Practice Office Telephone | 9256828200 |
| Mailing Address | 1748 MINTWOOD DR CONCORD, CA 945212152 US |
| Business Telephone | 4152050992 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 95027035
CA |
| 367500000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | 253586
AZ |