Individual
MISS MICHELINA STAZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CPNP-PC
Contact information
Practice address
9305 W THOMAS RD, SUITE 125, PHOENIX, AZ 85037-3328
(623) 388-3216
(623) 388-4902
Mailing address
9305 W THOMAS RD, SUITE 125, PHOENIX, AZ 85037-3328
(623) 388-3216
(623) 388-4902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN060838
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
AP6952
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819276
—
AZ
Enumeration date
11/15/2006
Last updated
03/24/2017
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