Individual provider · Type 1 NPI

Stephanie Bustoz

Student in an Organized Health Care Education/Training Program · Litchfield Park, AZ

NPI number 1205179017 Active

Practice location

255 E. Wigwam Blvd
Litchfield Park, AZ 85340

Fax (623) 935-0031

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRN173422 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205179017

Stephanie Bustoz's National Provider Identifier is 1205179017, issued on Mar 29, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Litchfield Park, AZ. The record was last updated on Mar 29, 2013.