Provider Demographics
NPI:1033752761
Name:STEPHENS, LIZABETH JOY (RN)
Entity Type:Individual
Prefix:MS
First Name:LIZABETH
Middle Name:JOY
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LIZABETH
Other - Middle Name:JOY
Other - Last Name:SHELBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44150 WEST MARICOPA-CASA GRAND HWY.
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138
Mailing Address - Country:US
Mailing Address - Phone:520-568-5100
Mailing Address - Fax:520-568-5110
Practice Address - Street 1:44150 WEST MARICOPA-CASA GRAND HWY.
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138
Practice Address - Country:US
Practice Address - Phone:520-568-5100
Practice Address - Fax:520-568-5110
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN109397163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN109397OtherNURSING LICENSE RN