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Individual

LINDA L STALEY

Active
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Individual

LINDA L STALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

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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