Individual
STACEY E KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
(602) 344-0930
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10835
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184995581
—
IA
05
—
470376604-32
—
NE
Enumeration date
01/18/2012
Last updated
09/19/2019
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