Individual provider · Type 1 NPI
Stephanie Ann Rideaux, DNP, WHNP-BC
Obstetrics & Gynecology Nurse Practitioner · Phoenix, AZ
NPI number
1760006415
Active
Practice location
2525 E Roosevelt St
Phoenix, AZ 85008-4948
Fax (602) 655-9135
Mailing address
4824 E Baseline Rd Ste 129
Mesa, AZ 85206-4679
Other practice locations
- 950 E Main St, Mesa, AZ 85203-8820 · (833) 855-9973
- 4824 E Baseline Rd Ste 129, Mesa, AZ 85206-4679 · (480) 644-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 241579 (AZ) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1760006415
Stephanie Ann Rideaux, DNP, WHNP-BC's National Provider Identifier is 1760006415, issued on May 28, 2020. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 20, 2026.