Christine Alison Stephens, LVN
Individual provider Active NPI Licensed Vocational Nurse · Graton, CA
NPI 1346865656 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1346865656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 2681777 (CA)
- Practice address
- 2835 Bowen St
Graton, CA 95444-9347 - Phone
- (707) 596-0290
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2681777 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 2681777 | CA | Yes |
Addresses
Primary practice location
2835 Bowen St
Graton, CA 95444-9347
Mailing address
2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 565-9500
Other names
- Christine Alison Connery
Other providers in Graton, CA
All providers in Graton, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.