Individual
KAYLA MARIE STACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN216532
AZ
363LF0000X
Family Nurse Practitioner
Primary
342025
AZ
Other
Enumeration date
06/25/2026
Last updated
07/31/2026
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