1114917192 NPI number — L STEPHEN NUNN PA

Table of content: L STEPHEN NUNN PA (NPI 1114917192)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114917192 NPI number — L STEPHEN NUNN PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NUNN
Provider First Name:
L STEPHEN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114917192
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8412 E SHEA BLVD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85260-6664
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-874-1515
Provider Business Mailing Address Fax Number:
480-991-8395

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5410 N SCOTTSDALE RD
Provider Second Line Business Practice Location Address:
SUITE B 200
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85253-5927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-866-3151
Provider Business Practice Location Address Fax Number:
480-991-8395
Provider Enumeration Date:
10/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  1074 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 497520 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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