Provider Demographics
NPI:1073166443
Name:KUERSCHNER, STEFANIE ALICE (RN)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:ALICE
Last Name:KUERSCHNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:ALICE
Other - Last Name:KUERSCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:40144 N 110TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-4959
Mailing Address - Country:US
Mailing Address - Phone:608-436-1816
Mailing Address - Fax:
Practice Address - Street 1:32409 N SCOTTSDALE RD STE 103
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1342
Practice Address - Country:US
Practice Address - Phone:807-870-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN100173163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse