Individual provider · Type 1 NPI

Stephanie L. Pettis, AGPC-NP

Nurse Practitioner · Sierra Vista, AZ

NPI number 1124756218 Active

Practice location

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685

Fax (877) 281-8622

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X278553 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124756218

Stephanie L. Pettis, AGPC-NP's National Provider Identifier is 1124756218, issued on Aug 8, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sierra Vista, AZ. The record was last updated on Dec 4, 2025.