Provider Demographics
NPI:1740522853
Name:STOKMAN, ANNE IELMINI (RN MSN CDE)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:IELMINI
Last Name:STOKMAN
Suffix:
Gender:F
Credentials:RN MSN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1467 ZACHARIAS
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363
Mailing Address - Country:US
Mailing Address - Phone:209-573-0798
Mailing Address - Fax:
Practice Address - Street 1:1467 ZACHARIAS RD
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:CA
Practice Address - Zip Code:95363-9505
Practice Address - Country:US
Practice Address - Phone:209-573-0798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332541163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator