STEPHANIE ANNE VAN HAM

PHOENIX, AZ
NPI1760688212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  AP2532)
Enumeration Date2007-06-22
Last Update Date2019-01-11
Business Address
Miss STEPHANIE ANNE VAN HAM Family Nurse Practit
2025 N 3RD ST SUITE170
PHOENIX, AZ 85004-1471
Phone number: 602-462-1132
Mailing Address
Miss STEPHANIE ANNE VAN HAM Family Nurse Practit
17218 N 72ND DR STE 100
GLENDALE, AZ 85308-8581
Phone number: 623-334-8670