Individual provider · Type 1 NPI
Stefaniya Tabanlieva, N.P.
Gerontology Nurse Practitioner · San Diego, CA
NPI number
1508617630
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Fax (888) 539-8781
Mailing address
File 57326
Los Angeles, CA 90074-7326
Other practice locations
- 9300 Campus Point Dr, La Jolla, CA 92037-1300 · (800) 926-8273
- 1000 Fivepoint Ste A, Irvine, CA 92618-2621 · (949) 671-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11029241 (FL) |
| Acute Care Nurse Practitioner | 363LA2100X | 11029241 (FL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95027914 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1508617630
Stefaniya Tabanlieva, N.P.'s National Provider Identifier is 1508617630, issued on Mar 28, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Diego, CA. The record was last updated on Dec 8, 2025.