Individual provider · Type 1 NPI

Stella Wan, NP

Gerontology Nurse Practitioner · Cerritos, CA

NPI number 1861918948 Active

Practice location

13357 South St
Cerritos, CA 90703-7308

Call (562) 379-8000 Map

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X95007150 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1861918948

Stella Wan, NP's National Provider Identifier is 1861918948, issued on Aug 20, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cerritos, CA. The record was last updated on Oct 1, 2025.