Individual
MRS. STEPHANIE K VANDEN BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
5110 N 44TH ST, PHOENIX, AZ 85018-1649
(602) 343-2900
Mailing address
13630 S CANYON DR, PHOENIX, AZ 85048-9081
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0946
AZ
367500000X
Certified Registered Nurse Anesthetist
R155256-0
MN
Other
Enumeration date
01/12/2006
Last updated
03/12/2014
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