Individual
MISS STEPHANIE ANNE VAN HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
2025 N 3RD ST, SUITE170, PHOENIX, AZ 85004-1471
(602) 462-1132
Mailing address
17218 N 72ND DR STE 100, GLENDALE, AZ 85308-8581
(623) 334-8670
(480) 488-3189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2532
AZ
Other
Enumeration date
06/22/2007
Last updated
01/11/2019
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