Individual
STEPHANIE NILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10613 N HAYDEN RD STE J-100, SCOTTSDALE, AZ 85260-5683
(480) 485-8824
Mailing address
4465 E PARADISE VILLAGE PKWY S APT 1195, PHOENIX, AZ 85032-7768
(801) 885-8405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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