Provider Demographics
NPI:1881298826
Name:TIRONE, STEPHANIE Q (ACNP-AG)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:Q
Last Name:TIRONE
Suffix:
Gender:F
Credentials:ACNP-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 W UNION HILLS DR STE 210
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1001
Mailing Address - Country:US
Mailing Address - Phone:480-765-2800
Mailing Address - Fax:
Practice Address - Street 1:6316 W UNION HILLS DR STE 210
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1001
Practice Address - Country:US
Practice Address - Phone:480-765-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN142004163W00000X
AZ256191363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse