Healthcare Provider Details

I. General information

NPI: 1497033468
Provider Name (Legal Business Name): STEFANIE MARIE MAASS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2011
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 E PINNACLE PEAK RD SUITE A207
SCOTTSDALE AZ
85255-3406
US

IV. Provider business mailing address

39122 N 26TH ST
CAVE CREEK AZ
85331-0797
US

V. Phone/Fax

Practice location:
  • Phone: 480-419-6996
  • Fax:
Mailing address:
  • Phone: 480-861-0338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP4134
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP4134
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: