STACEY WAX

PHOENIX, AZ
NPI1649101668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  2000703800)
Enumeration Date2026-05-27
Last Update Date2026-05-27
Business Address
STACEY WAX
2013 W MINNEZONA AVE
PHOENIX, AZ 85015-4157
Phone number: 408-559-7387
Mailing Address
STACEY WAX
2013 W MINNEZONA AVE
PHOENIX, AZ 85015-4157
Phone number: