STEPHANIE M KUSSER N.P. NPI 1265671473

NPI Information

NPI: 1265671473
Provider Name: STEPHANIE M KUSSER, N.P.
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
1665 SCENIC AVE
COSTA MESA, CA
ZIP 92626
Phone: (310) 214-5722
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Stephanie M Kusser, N.P. is a gerontology nurse practitioner in Costa Mesa, CA. Stephanie M Kusser, N.P. NPI is 1265671473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1665 SCENIC AVE
COSTA MESA, CA
ZIP 92626-445
Phone: (310) 214-5722
Fax: (310) 793-3756

The enumeration date for this NPI number is 2/11/2009 and was last updated on 8/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		564744	CALIFORNIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	18511	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G1108185	OTHER	CALIFORNIA	NP CERTIFICAITON
2	564744	OTHER	CALIFORNIA	RN LICENSE
3	3054	OTHER	CALIFORNIA	CNS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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