Issanda Stowater, Flora

Issanda Stowater, Flora is an sole proprietor health care provider with primary practice located at 1855 S Country Club Dr Ste 111-130 , Mesa AZ 85210-6037. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Issanda Stowater, Flora can be contacted via phone (480) 840-4777.

Contact Information

Primary practice address
1855 S Country Club Dr Ste 111-130 Mesa AZ 85210-6037
Phone: (480) 840-4777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP11721 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP11721 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP11721 Arizona

Profile Details

NPI number 1700274321
LBN Legal business name Issanda Stowater, Flora
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2015
Last updated Oct 5th, 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 1700274321 NPPES
Arizona MEDICAID 1700274321
Arizona Other 47-1340390

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