Individual provider · Type 1 NPI
Stacey J. Grohall, CPNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1497784565
Active
Practice location
1919 E Thomas Rd, Main Building
Phoenix, AZ 85016-7710
Fax (602) 933-4264
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP3818 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497784565
Stacey J. Grohall, CPNP's National Provider Identifier is 1497784565, issued on Jul 1, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 26, 2021.