Park, Stephanie Rae

Park, Stephanie Rae is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Park, Stephanie Rae can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
13400 E Shea Blvd Scottsdale AZ 85259
Phone: (480) 301-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN156020 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP4883 Arizona

Profile Details

NPI number 1750621793
LBN Legal business name Park, Stephanie Rae
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2013
Last updated Sep 3rd, 2020 - about 6 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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