Doctor Name: | MS. STEPHANIE LYNN FLAHERTY |
NPI Number: | 1316276207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 2253 |
Business Practice Address: | 17225 E Shea Blvd #105 Fountain Hills, AZ - 852686645 |
Business Phone Number: | 4802953700 |
Business Fax Number: | 4802953701 |
Mailing Address: | Po Box 15070, SCOTTSDALE |
State: | AZ |
Postal Code: | 85267 |
Phone Number: | 4802953700 |
Fax Number: | 4802953701 |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |