Provider Demographics
NPI:1609493071
Name:STEPHENS, MARGARET NOELANI
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:NOELANI
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3235
Mailing Address - Country:US
Mailing Address - Phone:619-753-7872
Mailing Address - Fax:
Practice Address - Street 1:1540 LAUREL ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3235
Practice Address - Country:US
Practice Address - Phone:619-753-7872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty