Individual
MS. STACEY MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3930 N 30TH AVE, PHOENIX, AZ 85017-4607
(623) 322-6143
(480) 781-4566
Mailing address
6519 W BRANHAM LN, LAVEEN, AZ 85339-2723
(623) 322-6143
(480) 781-4566
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
235033
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891395604
HELPING HANDZ COUNSELING SERVICES OUTPATIENT TREATMENT CENTER
AZ
Enumeration date
12/02/2019
Last updated
04/07/2021
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