Healthcare Provider Details

I. General information

NPI: 1093175440
Provider Name (Legal Business Name): SARAH ANNE STOIT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2016
Last Update Date: 02/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 7TH ST
WILLIAMS AZ
86046-2324
US

IV. Provider business mailing address

3629 BANNOCK
FLAGSTAFF AZ
86005-4001
US

V. Phone/Fax

Practice location:
  • Phone: 928-635-4441
  • Fax:
Mailing address:
  • Phone: 928-600-1807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8532
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: