Gregory, Stacey Beth

Gregory, Stacey Beth is an individual health care provider with primary practice located at 5701 W Talavi Blvd Suite 180, Glendale AZ 85306-1886. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gregory, Stacey Beth can be contacted via phone (623) 486-8202.

Contact Information

Primary practice address
5701 W Talavi Blvd Suite 180 Glendale AZ 85306-1886
Phone: (623) 486-8202
Fax: (623) 486-2739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP009026 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP3709 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 400916 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 304376 New York

Profile Details

NPI number 1093760167
LBN Legal business name Gregory, Stacey Beth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 8th, 2012 - about 13 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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