Individual
STACI P KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5450 S LAKESHORE DR STE 109, TEMPE, AZ 85283-5511
(602) 717-0231
Mailing address
5450 S LAKESHORE DR STE 109, TEMPE, AZ 85283-5511
(602) 717-0231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
283666
AZ
Other
Enumeration date
11/07/2022
Last updated
11/26/2025
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