Provider Demographics
NPI:1972764579
Name:STETTNER, EVA (NP)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:STETTNER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:MAIL CODE 8681
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9001
Mailing Address - Country:US
Mailing Address - Phone:619-543-3995
Mailing Address - Fax:619-543-7841
Practice Address - Street 1:4168 FRONT ST
Practice Address - Street 2:3RD FL
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2030
Practice Address - Country:US
Practice Address - Phone:619-543-3995
Practice Address - Fax:619-543-7841
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA14627363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner