Provider Demographics
NPI:1376291989
Name:HONING, STEPHANIE C (NP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:C
Last Name:HONING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20616 N CAVE CREEK RD # B-110
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4451
Mailing Address - Country:US
Mailing Address - Phone:602-680-7703
Mailing Address - Fax:
Practice Address - Street 1:20616 N CAVE CREEK RD # B-110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4451
Practice Address - Country:US
Practice Address - Phone:602-680-7703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN078492363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner