Provider Demographics
NPI:1588989370
Name:NGUYEN, STEPHANIE F (WHNP)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:F
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16585 N 92ND ST
Mailing Address - Street 2:B111
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1766
Mailing Address - Country:US
Mailing Address - Phone:480-999-1585
Mailing Address - Fax:
Practice Address - Street 1:13802 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 162
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3458
Practice Address - Country:US
Practice Address - Phone:480-999-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTAP3627363LX0001X
AZAP3627363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology