| Stephanie Alexander, | |
|
1666 Precision Park Ln, San Ysidro, CA 92173-1346 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Stephanie Alexander |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1666 Precision Park Ln, San Ysidro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942031752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95031621 (California) | Primary |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Alexander, 1125 Law St, San Diego, CA 92109-2656 Ph: (858) 353-7793 | Stephanie Alexander, 1666 Precision Park Ln, San Ysidro, CA 92173-1346 Ph: (619) 662-4100 |
Balwinder K Shukla, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-4585 | |
Ms. Aurelia Allen, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-4585 | |
Susan Darsann Driscoll, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-205-6341 | |
Margarita Arvizu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-4585 | |
Tedayshia Garcia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Maggie Marie Sickles, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952 |