Gourdoux, Stacey Ann

Gourdoux, Stacey Ann is an individual health care provider with primary practice located at 2550 W Union Hills Dr Ste 390 , Phoenix AZ 85027-5197. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gourdoux, Stacey Ann can be contacted via phone (602) 443-4068.

Contact Information

Primary practice address
2550 W Union Hills Dr Ste 390 Phoenix AZ 85027-5197
Phone: (602) 443-4068
Fax: (623) 434-8310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN060766 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP2224 Arizona

Profile Details

NPI number 1477584118
LBN Legal business name Gourdoux, Stacey Ann
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 15th, 2023 - about 3 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 1477584118 NPPES
Arizona MEDICAID 332832
Arizona Other AP2224

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