Individual
AMANDA LORRAINE STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4340 E INDIAN SCHOOL RD STE 21-204, PHOENIX, AZ 85018-5391
(315) 521-2455
(602) 926-7251
Mailing address
4340 E INDIAN SCHOOL RD STE 21-204, PHOENIX, AZ 85018-5391
(315) 521-2455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06210238
AZ
Other
Enumeration date
01/04/2022
Last updated
07/27/2023
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