STEPHANIE DESLATE, NP

Nurse Practitioner - Family

Active Individual
NPI: 1962089508

Practice Address

12675 LA MIRADA BLVD STE 220
La Mirada, CA 90638

Phone: (562) 967-2273

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 95015073 (CA)
Registered Nurse 163W00000X No 95114124 (CA)

Frequently Asked Questions

NPI 1962089508 is the National Provider Identifier for STEPHANIE DESLATE, NP, a Nurse Practitioner - Family provider located in La Mirada, CA. This NPI was enumerated on March 29, 2021.
STEPHANIE DESLATE, NP practices at 12675 LA MIRADA BLVD STE 220, La Mirada, CA 90638.

Quick Facts

NPI
1962089508
Type
Individual
Enumerated
Mar 29, 2021
Last Updated
Aug 21, 2025

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