Individual provider · Type 1 NPI

Stephanie Ethridge

Registered Nurse · Lake Havasu City, AZ

NPI number 1942137765 Active

Practice location

101 Civic Center Ln
Lake Havasu City, AZ 86403-5683

Call (928) 855-8185 Map

Mailing address

3580 Yucca Dr
Lake Havasu City, AZ 86404-2267

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN214531 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1942137765

Stephanie Ethridge's National Provider Identifier is 1942137765, issued on May 6, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on May 6, 2026.