MEDICARE: BARBARA STOLFUS FNP-C

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	363LF0000X	Family Nurse Practitioner	321041	AZ

General Provider Information

NPI Number	:	1891581302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA STOLFUS FNP-C

Provider Business Mailing Address
First Line	:	18402 N 67TH AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-1038
Country	:	US
Telephone Number	:	928-234-4783
Fax Number	:

Provider Business Practice Location Address
First Line	:	18402 N 67TH AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-1038
Country	:	US
Telephone Number	:	928-234-4783
Fax Number	:

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

Provider Enumeration Date	:	04/19/2025
Last Update Date	:	01/29/2026

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