MEDICARE: A&C STANTON VENTURES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1689381139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&C STANTON VENTURES INC.

Provider Business Mailing Address
First Line	:	11000 N SCOTTSDALE RD STE 295
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-6168
Country	:	US
Telephone Number	:	714-401-6256
Fax Number	:

Provider Business Practice Location Address
First Line	:	11000 N SCOTTSDALE RD STE 295
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-6168
Country	:	US
Telephone Number	:	714-401-6256
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MEDICAL DIRECTOR/FNP-C
Name	:	CHERYL L STANTON
Credential	:	FNP-C
Telephone Number	:	714-401-6256

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	02/27/2023

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