Stephanie Quilianna Fizzard in Lake Forest - Physician Assistant
Stephanie Quilianna Fizzard - NPI 1114953155
Stephanie Quilianna Fizzard is a Physician Assistant in Lake Forest, California. Stephanie Quilianna Fizzard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie Quilianna Fizzard is 1114953155. The last update date is 2014-12-17.
Stephanie Quilianna Fizzard's current location address is 25902 Tipperary Ln, Lake Forest, California. You can contact this provider via phone number 9499162924. The mailing address for Stephanie Quilianna Fizzard is 25902 Tipperary Ln, Lake Forest, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephanie Quilianna Fizzard |
---|---|
Address | 25902 Tipperary Ln, Lake Forest, California |
Phone Number | 9499162924 |
Fax Number | |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1114953155 |
---|---|
Provider Enumeration Date | 2006-06-23 |
Last Updated Date | 2014-12-17 |
Provider Mailing Address Detail
Address | 25902 Tipperary Ln |
---|---|
City | Lake Forest |
State | California (CA) |
Post Code | 926308059 |
Phone Number | 9499162924 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | PA14810 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie Quilianna Fizzard by the Centers for Medicare & Medicaid Services (CMS)?
The Stephanie Quilianna Fizzard has been assigned the NPI (National Provider Identifier) 1114953155. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Stephanie Quilianna Fizzard's specialty and taxonomy code?
The Stephanie Quilianna Fizzard's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Stephanie Quilianna Fizzard's 1114953155 issued?
The Stephanie Quilianna Fizzard's 1114953155 was issued on 2006-06-23.
On what date did the Centers for Medicare & Medicaid Services issue the 1114953155 to Stephanie Quilianna Fizzard?
The Stephanie Quilianna Fizzard received its 1114953155 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the Stephanie Quilianna Fizzard's information last updated?
The Stephanie Quilianna Fizzard's information was last updated on 2014-12-17.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI