MEDICARE: STEPHANIE MORGANDO

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP5229	AZ
2	363LF0000X	Family Nurse Practitioner	AP5229	AZ

General Provider Information

NPI Number	:	1457788499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MORGANDO

Provider Business Mailing Address
First Line	:	3820 NORTHDALE BLVD STE 201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1893
Country	:	US
Telephone Number	:	800-911-6117
Fax Number	:	928-263-4794

Provider Business Practice Location Address
First Line	:	1010 E MCDOWELL RD STE 103
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2607
Country	:	US
Telephone Number	:	800-991-6117
Fax Number	:	888-812-8191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2013
Last Update Date	:	08/15/2025

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