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Contact Information

FLORA ISSANDA STOWATER, NP
5816 S 27TH DR
PHOENIX, AZ85041
 Phone: 480-840-4777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FLORA ISSANDA STOWATER · (Female)

NPI # 1700274321
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/05/2015
Last updated 10/05/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # AP11721
  • AZ Medicaid 1700274321
  • AZ Other 47-1340390 IRS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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