Provider / Organization | NPI | Date Certified |
---|---|---|
ADRIAN EMIL STAMP | 1295352334 | 2020-07-04 |
Adrian Emil Stamp is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295352334. Registration indicates Adrian Emil Stamp is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Adrian Emil Stamp |
Practice Office Address | 12641 N 19TH ST PHOENIX, AZ US |
Practice Office Telephone | 6027031248 |
Mailing Address | 12641 N 19TH ST PHOENIX, AZ 850225735 US |
Business Telephone | 6027031248 |
Code | Practice | License No State |
---|---|---|
363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 243696
AZ |
193400000X SING | Group Code |