Individual provider · Type 1 NPI

Caelev Stephan

Student in an Organized Health Care Education/Training Program · Carmichael, CA

NPI number 1740985100 Active

Practice location

6147 Sutter Ave
Carmichael, CA 95608-2738

Mailing address

8325 La Cruz Way
Elk Grove, CA 95757-1718

Other practice locations

  • 8325 La Cruz Way, Elk Grove, CA 95757-1718 · (916) 949-2886

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740985100

Caelev Stephan's National Provider Identifier is 1740985100, issued on Apr 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Carmichael, CA. The record was last updated on Aug 20, 2024.