Provider Demographics
NPI:1235575770
Name:LINDA L STUART-DAVIS, INC
Entity Type:Organization
Organization Name:LINDA L STUART-DAVIS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:480-948-9099
Mailing Address - Street 1:10335 N SCOTTSDALE RD STE E
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1435
Mailing Address - Country:US
Mailing Address - Phone:480-650-6804
Mailing Address - Fax:480-948-8344
Practice Address - Street 1:10335 N SCOTTSDALE RD STE E
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253
Practice Address - Country:US
Practice Address - Phone:480-650-6804
Practice Address - Fax:480-948-8344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty