Provider Demographics
NPI:1598005779
Name:DANCH, STEFANI ROMO (NP)
Entity Type:Individual
Prefix:MRS
First Name:STEFANI
Middle Name:ROMO
Last Name:DANCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 STOCKTON BLVD. #112
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3228
Mailing Address - Country:US
Mailing Address - Phone:916-887-4300
Mailing Address - Fax:
Practice Address - Street 1:1625 STOCKTON BLVD. #112
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3228
Practice Address - Country:US
Practice Address - Phone:916-887-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22174363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics