Provider Demographics
NPI:1407003254
Name:DAVIS, STEFANIE M (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26535 N WRANGLER RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1450
Mailing Address - Country:US
Mailing Address - Phone:480-513-3929
Mailing Address - Fax:
Practice Address - Street 1:16641 N 40TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-3343
Practice Address - Country:US
Practice Address - Phone:602-482-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-23
Last Update Date:2008-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3098363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health