Ms Stephanie Ann Bose, RN - Registered Nurse in Gardena, CA

Ms Stephanie Ann Bose, RN is a Registered Nurse - Addiction (substance Use Disorder) based in Gardena, California. Ms Stephanie Ann Bose is licensed to practice in California (license number 550157) and her current practice location is 15519 Crenshaw Blvd, Gardena, California. She can be reached at her office (for appointments etc.) via phone at (310) 679-9126.

NPI number for Ms Stephanie Ann Bose is 1144777095 and her current mailing address is 15519 Crenshaw Blvd, Gardena, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144777095.

Contact Information

Ms Stephanie Ann Bose, RN
15519 Crenshaw Blvd,
Gardena, CA 90249-4525
(310) 679-9126
Not Available

Map and Direction




Provider's Profile

Full NameMs Stephanie Ann Bose
GenderFemale
SpecialityRegistered Nurse - Addiction (substance Use Disorder)
Location15519 Crenshaw Blvd, Gardena, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144777095
  • Provider Enumeration Date: 09/08/2016
  • Last Update Date: 01/04/2022

Medical Identifiers

Medical identifiers for Ms Stephanie Ann Bose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144777095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD1100XRegistered Nurse - Dialysis, Peritoneal 550157 (California)Secondary
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) 550157 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Stephanie Ann Bose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Stephanie Ann Bose, RN
15519 Crenshaw Blvd,
Gardena, CA 90249-4525

Ph: (310) 679-9126
Ms Stephanie Ann Bose, RN
15519 Crenshaw Blvd,
Gardena, CA 90249-4525

Ph: (310) 679-9126

Reviews and Comments


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