Provider Demographics
NPI:1003499351
Name:PIELECH, STEPHANIE CAROLE (RN)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CAROLE
Last Name:PIELECH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41914 50TH ST W
Mailing Address - Street 2:
Mailing Address - City:QUARTZ HILL
Mailing Address - State:CA
Mailing Address - Zip Code:93536-2963
Mailing Address - Country:US
Mailing Address - Phone:661-722-0716
Mailing Address - Fax:661-943-9362
Practice Address - Street 1:41914 50TH ST W
Practice Address - Street 2:
Practice Address - City:QUARTZ HILL
Practice Address - State:CA
Practice Address - Zip Code:93536-2963
Practice Address - Country:US
Practice Address - Phone:661-722-0716
Practice Address - Fax:661-943-9362
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA335102163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool