Organization
MODERN MILK GILBERT
Active
Organization
MODERN MILK GILBERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FAYE NGUYEN NP (OWNER)
(480) 534-8192
Entity
Organization
Contact information
Practice address
3244 E GUADALUPE RD STE 106, GILBERT, AZ 85234-9605
(480) 534-8192
Mailing address
3244 E GUADALUPE RD STE 106, GILBERT, AZ 85234-9605
(480) 534-8192
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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