Individual
STEPHANIE ANN RIDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
950 E MAIN ST, MESA, AZ 85203-8820
(602) 655-6200
Mailing address
4824 E BASELINE RD STE 129, MESA, AZ 85206-4679
(480) 644-1001
(480) 644-1002
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
241579
AZ
Other
Enumeration date
05/28/2020
Last updated
06/30/2022
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