Individual
STACY BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15151 W CENTERRA DR S, GOODYEAR, AZ 85338-2956
(623) 772-4800
Mailing address
3993 S 178TH DR, GOODYEAR, AZ 85338-8042
(630) 347-1167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
296039
AZ
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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