Healthcare Provider Details

I. General information

NPI: 1588989370
Provider Name (Legal Business Name): STEPHANIE F NGUYEN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 11/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13802 N SCOTTSDALE RD SUITE 162
SCOTTSDALE AZ
85254-3458
US

IV. Provider business mailing address

16585 N 92ND ST B111
SCOTTSDALE AZ
85260-1766
US

V. Phone/Fax

Practice location:
  • Phone: 480-999-1585
  • Fax:
Mailing address:
  • Phone: 480-999-1585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberTAP3627
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP3627
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: