Individual
MRS. STEPHANIE MARIE THIRJUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
1718 W COLTER ST UNIT 172, PHOENIX, AZ 85015-2955
(313) 680-3307
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
268325
AZ
Other
Enumeration date
06/28/2021
Last updated
12/30/2021
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