Provider Demographics
NPI:1932671716
Name:YEE, STEPHANIE TINA (BSN)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:TINA
Last Name:YEE
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CHAPALITA DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4825
Mailing Address - Country:US
Mailing Address - Phone:760-579-3445
Mailing Address - Fax:
Practice Address - Street 1:111 CHAPALITA DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4825
Practice Address - Country:US
Practice Address - Phone:760-579-3445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95180702163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse