Individual
STACI MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7150 N 22ND ST, PHOENIX, AZ 85020-5605
(602) 664-7820
(602) 664-7896
Mailing address
7150 N 22ND ST, PHOENIX, AZ 85020-5605
(602) 664-7820
(602) 664-7896
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN186795
AZ
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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