Individual provider · Type 1 NPI
Stephanie Juliet Mahooty, N.P.
Adult Health Nurse Practitioner · Mesa, AZ
NPI number
1922399542
Active
Practice location
612 W Baseline Rd
Mesa, AZ 85210-6041
Fax (480) 964-7802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R48437 (NM) |
| Adult Health Nurse Practitioner | 363LA2200X | CNP02584 (NM) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP3997 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1922399542
Stephanie Juliet Mahooty, N.P.'s National Provider Identifier is 1922399542, issued on Apr 30, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mesa, AZ. The record was last updated on Sep 23, 2024.