Provider Demographics
NPI:1255739918
Name:COX, STEPHANIE (ND)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 S LAKESHORE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7047
Mailing Address - Country:US
Mailing Address - Phone:602-397-6652
Mailing Address - Fax:
Practice Address - Street 1:4525 S LAKESHORE DR STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7047
Practice Address - Country:US
Practice Address - Phone:602-397-6652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14-1477175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath