Individual provider · Type 1 NPI

Stephenie Hargrove, NP

Family Nurse Practitioner · Clearlake, CA

NPI number 1053927608 Active

Practice location

15630 18th Ave
Clearlake, CA 95422-9336

Mailing address

19947 Mountain Mdw N
Hidden Valley Lake, CA 95467-8546

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95012363 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1053927608

Stephenie Hargrove, NP's National Provider Identifier is 1053927608, issued on Sep 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clearlake, CA. The record was last updated on Sep 18, 2020.