Ranum, Stephanie Joy
Ranum, Stephanie Joy is an individual health care provider with primary practice located at 6320 W Union Hills Dr Ste A100 , Glendale AZ 85308-1099. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Ranum, Stephanie Joy can be contacted via phone (480) 821-3600.Contact Information
Primary practice address
6320 W Union Hills Dr Ste A100
Glendale AZ 85308-1099
Phone: (480) 821-3600
Fax: (480) 857-2667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6938 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6938 | Arizona |
Profile Details
| NPI number | 1609269778 |
|---|---|
| LBN Legal business name | Ranum, Stephanie Joy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2015 |
| Last updated | Jul 3rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609269778 | NPPES |
| Arizona | MEDICAID | 344109 |
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