Individual
MS. STEPHANIE LYNN FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4540 E BASELINE RD STE 114, MESA, AZ 85206-4617
(602) 633-3840
(602) 633-3842
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2253
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496621
—
AZ
Enumeration date
12/23/2009
Last updated
09/05/2023
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