Provider Demographics
NPI:1801384649
Name:STANTON, CHERYL L (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:STANTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:DIEHL, MCCLURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:11000 N SCOTTSDALE RD STE 295
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6168
Mailing Address - Country:US
Mailing Address - Phone:714-401-6256
Mailing Address - Fax:
Practice Address - Street 1:11000 N SCOTTSDALE RD STE 295
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6168
Practice Address - Country:US
Practice Address - Phone:714-401-6256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004715363L00000X
AZ268792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner