Farrell, Stefan Brice
Farrell, Stefan Brice is an individual health care provider with primary practice located at 2251 N 32Nd St Lot 16 , Mesa AZ 85213-2426. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Perioperative. Physician Assistants & Advanced Practice Nursing Providers / Perioperative is his primary health care specialty. Farrell, Stefan Brice can be contacted via phone (480) 844-9817.Contact Information
Primary practice address
2251 N 32Nd St Lot 16
Mesa AZ 85213-2426
Phone: (480) 844-9817
Fax: (480) 461-9195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | RN 085383 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Perioperative | 364SP2800X | RN 085383 | Arizona |
Profile Details
NPI number | 1275613960 |
---|---|
LBN Legal business name | Farrell, Stefan Brice |
Credentials | CNS, MSN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Jan 23rd, 2019 - about 5 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275613960 | NPPES |
Arizona | Other | AZ 0167830 | BC/BS |
Arizona | Other | 1Z4109 | BC/BS |
Arizona | Other | 7562119 | BC/BS |
Arizona | MEDICAID | 479073 | BC/BS |
Arizona | Other | 890001034 | BC/BS |
Arizona | Other | 189762400 | BC/BS |
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