Lookup NPI Numbers from the NPI Registry
NPI Profile for STEPHANIE M LUCKANAVANICH in LONG BEACH, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Gerontology |
364SG0600X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1710749445 |
|
| Status | Active | |
| Credentials | AG-ACNP | |
| Entity | Individual | |
| Enumeration date | 01/29/2024 | |
| Last updated | 01/29/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE M LUCKANAVANICH
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STEPHANIE M LUCKANAVANICH, AG-ACNP