Maxwell, Stacy M

Maxwell, Stacy M is an individual health care provider with primary practice located at 3201 N 3Rd St , Phoenix AZ 85012-2631. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Maxwell, Stacy M can be contacted via phone (602) 265-1774.

Contact Information

Primary practice address
3201 N 3Rd St Phoenix AZ 85012-2631
Phone: (602) 265-1774
Fax: (602) 265-1738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1427208305
LBN Legal business name Maxwell, Stacy M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated Sep 26th, 2008 - about 16 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.

Request for update

Popular Providers