Provider Demographics
NPI:1427322973
Name:HURD, STEPHANIE SEGOND (PA)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:SEGOND
Last Name:HURD
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3815 E BELL RD STE 2700
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2155
Mailing Address - Country:US
Mailing Address - Phone:602-714-6970
Mailing Address - Fax:602-714-5176
Practice Address - Street 1:3815 E BELL RD STE 2700
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2155
Practice Address - Country:US
Practice Address - Phone:602-714-6970
Practice Address - Fax:602-714-5176
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2021-01-11
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Provider Licenses
StateLicense IDTaxonomies
AZ5090363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant