Healthcare Provider Details

I. General information

NPI: 1346785052
Provider Name (Legal Business Name): STEFANI TSIRIGOTIS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEFANI HAISCHER

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N WILMOT RD
TUCSON AZ
85711-2602
US

IV. Provider business mailing address

PO BOX 22224
BELFAST ME
04915-4473
US

V. Phone/Fax

Practice location:
  • Phone: 520-296-3211
  • Fax:
Mailing address:
  • Phone: 888-402-7256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP016871
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNUR-APRN-LIC160976
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number160976
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number305526
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: