Organization
MODERN MILK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FAYE NGUYEN WHNP (OWNER)
(480) 999-1585
Entity
Organization
Contact information
Practice address
13802 N SCOTTSDALE RD STE 162, SCOTTSDALE, AZ 85254-3437
(480) 999-1585
Mailing address
13802 N SCOTTSDALE RD STE 162, SCOTTSDALE, AZ 85254-3437
(480) 999-1585
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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