Individual provider · Type 1 NPI

Stephanie Deslate, NP

Family Nurse Practitioner · La Mirada, CA

NPI number 1962089508 Active

Practice location

12675 La Mirada Blvd Ste 220
La Mirada, CA 90638-2235

Fax (562) 967-2911

Other practice locations

  • 12401 Washington Blvd, Whittier, CA 90602-1006 · (562) 698-0811
  • 11500 Brookshire Ave, Downey, CA 90241-4917 · (562) 904-5000
  • 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 · (213) 977-2121

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95015073 (CA)
Registered Nurse 163W00000X95114124 (CA)

Family Nurse Practitioner: Definition to come...

Another provider at this address

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About NPI 1962089508

Stephanie Deslate, NP's National Provider Identifier is 1962089508, issued on Mar 29, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Mirada, CA. The record was last updated on Aug 21, 2025.