Individual provider · Type 1 NPI
Stacey Wax
Nurse Practitioner · Phoenix, AZ
Practice location
2013 W Minnezona Ave
Phoenix, AZ 85015-4157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2000703800 (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 1649101668
Stacey Wax's National Provider Identifier is 1649101668, issued on May 27, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 27, 2026.