Individual
MS. STEPHANIE HANCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
SOUTHWESTERN EYE CENTER, LTD, 2610 E. UNIVERSITY DR., MESA, AZ 85213
(480) 892-8400
(480) 892-1889
Mailing address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-1889
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104411
—
AZ
05
—
104411
—
CA
Enumeration date
05/28/2006
Last updated
03/17/2018
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