Individual
STEPHANIE VAN GORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13400 E SHEA BLVD, SUITE A2-, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP7966
AZ
363L00000X
Nurse Practitioner
RN148228
AZ
363LF0000X
Family Nurse Practitioner
AP7966
AZ
Other
Enumeration date
11/12/2015
Last updated
09/09/2020
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