Farrell, Stefan Brice

Farrell, Stefan Brice is an individual health care provider with primary practice located at 2251 N 32Nd St Lot 16 , Mesa AZ 85213-2426. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Perioperative. Physician Assistants & Advanced Practice Nursing Providers / Perioperative is his primary health care specialty. Farrell, Stefan Brice can be contacted via phone (480) 844-9817.

Contact Information

Primary practice address
2251 N 32Nd St Lot 16 Mesa AZ 85213-2426
Phone: (480) 844-9817
Fax: (480) 461-9195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN 085383 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Perioperative 364SP2800X RN 085383 Arizona

Profile Details

NPI number 1275613960
LBN Legal business name Farrell, Stefan Brice
Credentials CNS, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275613960 NPPES
Arizona Other AZ 0167830 BC/BS
Arizona Other 1Z4109 BC/BS
Arizona Other 7562119 BC/BS
Arizona MEDICAID 479073 BC/BS
Arizona Other 890001034 BC/BS
Arizona Other 189762400 BC/BS

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