Individual
ANDREA LYNN STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1244 N GREENFIELD RD STE 104, MESA, AZ 85205-4078
(480) 964-6900
(480) 964-6901
Mailing address
1244 N GREENFIELD RD STE 104, MESA, AZ 85205-4078
(480) 964-6900
(480) 964-6901
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
807370
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452341
—
ND
Enumeration date
08/31/2012
Last updated
12/11/2025
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