Individual
STEPHANIE TAVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
215 S DOBSON RD STE 4, CHANDLER, AZ 85224-6227
(623) 878-2100
(623) 776-9419
Mailing address
6677 W THUNDERBIRD RD STE I164, GLENDALE, AZ 85306-3762
(623) 878-2100
(623) 776-9419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5115
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5115
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5115
ARIZONA LICENSE
AZ
Enumeration date
12/09/2007
Last updated
07/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up