Individual
MRS. STEFANIE LYN MCCULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 E MCLELLAN RD, MESA, AZ 85201-2339
(480) 472-5108
Mailing address
21503 E ROUNDUP CT, QUEEN CREEK, AZ 85142-3289
(480) 695-7762
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN144516
AZ
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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