Gregory, Stacey Beth
Gregory, Stacey Beth is an individual health care provider with primary practice located at 5701 W Talavi Blvd Suite 180, Glendale AZ 85306-1886. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gregory, Stacey Beth can be contacted via phone (623) 486-8202.Contact Information
Primary practice address
5701 W Talavi Blvd Suite 180
Glendale AZ 85306-1886
Phone: (623) 486-8202
Fax: (623) 486-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | SP009026 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP3709 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 400916 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 304376 | New York |
Profile Details
| NPI number | 1093760167 |
|---|---|
| LBN Legal business name | Gregory, Stacey Beth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Nov 8th, 2012 - about 14 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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