Provider Demographics
NPI:1063844314
Name:STONAWSKI-SEMPLE, ANITA VERA (DNP, FNP)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:VERA
Last Name:STONAWSKI-SEMPLE
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 SAGE SPARROW CIR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-7751
Mailing Address - Country:US
Mailing Address - Phone:707-451-4111
Mailing Address - Fax:
Practice Address - Street 1:269 SAGE SPARROW CIR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-7751
Practice Address - Country:US
Practice Address - Phone:707-451-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23279363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily