Provider Demographics
NPI:1083258354
Name:LECHUGA, STEPHENIE ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:STEPHENIE
Middle Name:ANN
Last Name:LECHUGA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 E WARNER RD STE 109
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3417
Mailing Address - Country:US
Mailing Address - Phone:480-825-5525
Mailing Address - Fax:480-831-6755
Practice Address - Street 1:3415 W GLENDALE AVE STE 32A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-8485
Practice Address - Country:US
Practice Address - Phone:602-246-7462
Practice Address - Fax:602-995-6800
Is Sole Proprietor?:No
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ233823363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics