| NPI | 1811604135 |
|---|---|
| Doing Business As | STATERA HEALTH |
| Entity Type | Organization |
| Authorized Contact | MEGAN ANDERSON President 909-283-4213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-04-03 |