Individual
LINDA L STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 W THOMAS RD STE 750&850, PHOENIX, AZ 85013-4224
(602) 406-1150
(602) 406-1159
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP0862
AZ
363LF0000X
Family Nurse Practitioner
AP0862
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496762
—
AZ
01
—
500011789
RAILROAD MEDICARE
AZ
Enumeration date
11/25/2005
Last updated
08/29/2025
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