Provider Demographics
NPI:1477615599
Name:STEFANESCU, CAMELIA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CAMELIA
Middle Name:
Last Name:STEFANESCU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CAMELIA
Other - Middle Name:
Other - Last Name:COVALSCHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP- C
Mailing Address - Street 1:133 ALLIMORE CT
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8853
Mailing Address - Country:US
Mailing Address - Phone:408-313-0113
Mailing Address - Fax:
Practice Address - Street 1:900 WELCH RD
Practice Address - Street 2:SUITE 350
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1805
Practice Address - Country:US
Practice Address - Phone:650-725-0382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561115163WX0002X
CA15781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk