Kerry Lynn Stavinoha, is a
Registered Nurse based in Bonsall, California. Kerry Lynn Stavinoha is licensed to practice in California (license number 6203369) and her current practice location is
1409 Dentro De Lomas, Bonsall, California. She can be reached at her office (for appointments etc.) via phone at
(760) 390-5485.
NPI number for Kerry Lynn Stavinoha is 1154055085 and her current mailing address is 1409 Dentro De Lomas, Bonsall, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154055085.
Provider's Profile
| Full Name | Kerry Lynn Stavinoha |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 1409 Dentro De Lomas, Bonsall, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154055085
- Provider Enumeration Date: 07/15/2022
- Last Update Date: 07/15/2022
Medical Identifiers
Medical identifiers for Kerry Lynn Stavinoha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154055085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 6203369 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerry Lynn Stavinoha is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kerry Lynn Stavinoha,
1409 Dentro De Lomas,
Bonsall, CA 92003-6811
Ph: (760) 390-5485 | Kerry Lynn Stavinoha,
1409 Dentro De Lomas,
Bonsall, CA 92003-6811
Ph: (760) 390-5485 |
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