MEDICARE: CHERYL L STANTON FNP-C

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	363L00000X	Nurse Practitioner	95004715	CA
2	363LF0000X	Family Nurse Practitioner	268792	AZ

General Provider Information

NPI Number	:	1801384649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL L STANTON FNP-C

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	02/12/2023

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