Blackmore, Stephanie Elizabeth

Blackmore, Stephanie Elizabeth is an individual health care provider with primary practice located at 14961 W Bell Rd Ste 100 , Surprise AZ 85374-3203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blackmore, Stephanie Elizabeth can be contacted via phone (623) 439-5176.

Contact Information

Primary practice address
14961 W Bell Rd Ste 100 Surprise AZ 85374-3203
Phone: (623) 439-5176
Fax: (855) 583-1420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 245687 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 245687 Arizona

Profile Details

NPI number 1366052771
LBN Legal business name Blackmore, Stephanie Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2020
Last updated Oct 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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