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NPI Code Detail

MEDICARE: LAURA ANNE STAGER FNP

MEDICARE: LAURA ANNE STAGER FNP
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
1363LF0000XFamily Nurse PractitionerAP9748AZ

General Provider Information

NPI Number : 1710439773
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANNE STAGER FNP
Provider Business Mailing Address
First Line : 1811 E MCMURRAY BLVD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5404
Country : US
Telephone Number : 520-374-6536
Fax Number : 520-374-6541
Provider Business Practice Location Address
First Line : 1811 E MCMURRAY BLVD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5404
Country : US
Telephone Number : 520-374-6530
Fax Number : 520-374-6541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2016
Last Update Date : 11/02/2021

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Directions to “ LAURA ANNE STAGER FNP” Practice Location

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