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NPI Code Detail

MEDICARE: COURTNEY LYNN STINE

MEDICARE:   COURTNEY LYNN STINE
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
1163W00000XRegistered NurseRN200611AZ
2363L00000XNurse Practitioner316349AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NONEOTHERAZNONE

General Provider Information

NPI Number : 1992460620
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LYNN STINE
Provider Business Mailing Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-906-1705
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-906-1705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2021
Last Update Date : 03/06/2026

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Directions to “ COURTNEY LYNN STINE ” Practice Location

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