Individual
STACEY KRENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6935 E GOLD DUST AVE, SCOTTSDALE, AZ 85253-1447
(630) 244-9678
Mailing address
6565 E THOMAS RD UNIT O1106, SCOTTSDALE, AZ 85251-6175
(630) 244-9678
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN210555
AZ
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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