Individual
STEPHANIE ANNE NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 E SOUTHERN AVE, STE 102, TEMPE, AZ 85282-7510
(480) 820-0627
(480) 820-4840
Mailing address
PO BOX 22057, TEMPE, AZ 85285-2057
(480) 820-0627
(480) 820-4840
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34159
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
962987
AHCCCS
AZ
Enumeration date
12/28/2005
Last updated
09/09/2010
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