MARK ANDERSON STELL RN
NPI 1700476694
Registered Nurse - General Practice in San Diego, CA
Active since January 25, 2021
About Mark Anderson Stell Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ANDERSON STELL RN (NPI 1700476694) is an individual general practice provider in San Diego, California, licensed in California (821141) and active in the NPI registry since January 2021.
NPPES Registry Identity
NPI1700476694
Entity TypeIndividualMale
Primary Taxonomy163WG0000X
Provider Legal NameMARK ANDERSON STELLCredential: RN
Location Address4231 WITHERBY STSan Diego, CA 92103-1132
Mailing Address4231 Witherby StSan Diego, CA 92103-1132 · (619) 846-9310
Phone(619) 846-9310
Sole ProprietorYes
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1700476694 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in CA · 821141
4231 WITHERBY ST, San Diego, CA 92103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700476694, enumerated as an "individual" on January 25, 2021.
The provider is located at 4231 WITHERBY ST SAN DIEGO, CA 92103 and the phone number is (619) 846-9310.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
