Fogarty, Stefanie Lee

Fogarty, Stefanie Lee is an individual health care provider with primary practice located at 2946 E Banner Gateway Dr. , Gilbert AZ 85234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fogarty, Stefanie Lee can be contacted via phone (480) 256-6444.

Contact Information

Primary practice address
2946 E Banner Gateway Dr. Gilbert AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-4683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP3757 Arizona

Profile Details

NPI number 1083949788
LBN Legal business name Fogarty, Stefanie Lee
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Sep 25th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083949788 NPPES
Arizona MEDICAID 558143

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