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Individual

MS. JANNA KAY STULTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2204 S DOBSON RD STE 202, MESA, AZ 85202-6457
(480) 633-6868
(480) 633-6996
Mailing address
PO BOX 748860, ATLANTA, GA 30374
(480) 633-6868
(480) 633-6996

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP10647
AZ
367A00000X
Advanced Practice Midwife
Primary
AP10647
AZ
367A00000X
Advanced Practice Midwife
AP60949541
WA

Other

Enumeration date
10/03/2017
Last updated
06/26/2023
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