Individual
BONNIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1864 N FLORENCE BLVE #2, CASA GRANDE, AZ 85122
(520) 381-0320
(520) 788-6143
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
271553
AZ
Other
Enumeration date
03/07/2022
Last updated
03/23/2022
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