Individual provider · Type 1 NPI
Stephanie Lisette Bedolla, NP-C
Adult Health Nurse Practitioner · Petaluma, CA
NPI number
1265717565
Active
Practice location
1179 N Mcdowell Blvd
Petaluma, CA 94954-6559
Other practice locations
- 16977 Healdsburg Ave, Healdsburg, CA 95448-3261 · (510) 929-1400
- 4500 Gilbert St, Oakland, CA 94611-4657 · (510) 929-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NPP37728 (RI) |
| Adult Health Nurse Practitioner | 363LA2200X | RN2275566 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95002835 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1265717565
Stephanie Lisette Bedolla, NP-C's National Provider Identifier is 1265717565, issued on Oct 18, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Petaluma, CA. The record was last updated on Jun 17, 2025.