STEFAN BRICE FARRELL (NPI# 1275613960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275613960 |
| Entity Type | Individual |
| Full Name | STEFAN BRICE FARRELL |
| Credential | CNS, MSN |
| Practice Address |
2251 N 32nd St Lot 16 Mesa AZ 85213-2426 |
| Mailing Address |
Po Box 30361 Mesa AZ 85275-0361 |
| Practice Telephone | 4808449817 |
| Practice Fax Number | 4804619195 |
| Mailing Telephone | 4808449817 |
| Mailing Fax Number | 4804619195 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP2800X |
Clinical Nurse Specialist Specialization: Perioperative |
RN 085383 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN 085383 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 479073 | 05 | |
| US LABOR | 189762400 | 01 | |
| AZ | HEALTHNET | 1Z4109 | 01 |
| CIGNA | 7562119 | 01 | |
| RAILROAD | 890001034 | 01 | |
| AZ | BC/BS | AZ 0167830 | 01 |
| Street Address |
2251 N 32ND ST LOT 16 |
| City | MESA |
| State | AZ |
| Zip Code | 85213-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| Taxonomy Code | 364SP2800X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Perioperative |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932145638 | Kathleen Renea Campbell | Clinical Nurse Specialist | 645 W Country Estates Ave, Gilbert, AZ 85233-8254 | 2006-06-21 |
| 1588643084 | Lana Louise Andersen | Clinical Nurse Specialist | 1802 W El Caminito Dr, Phoenix, AZ 85021-5257 | 2006-01-12 |
| 1831177781 | Charlton Richard Covill | Clinical Nurse Specialist | 15629 E Sanoque Blvd, Chandler, AZ 85249-9421 | 2006-01-01 |
| 1215930730 | Kary L O'connor | Clinical Nurse Specialist | 1114 E Yucca St, Casa Grande, AZ 85222-1204 | 2005-05-30 |
| 1952799900 | Desert Ancillary Services Pllc | Clinical Nurse Specialist | 10115 E Bell Rd, Suite 107-508, Scottsdale, AZ 85260-2189 | 2014-12-29 |
| 1710143599 | Rebecca L Rodgers | Clinical Nurse Specialist | 500 N 56th St, Ste 5, Chandler, AZ 85226-2506 | 2008-07-31 |
| 1073678785 | Carol Blake, Msn, Rn, Cns, Crnfa, Cnor, PC | Clinical Nurse Specialist | 4091 E Nisbet Rd, Phoenix, AZ 85032-4767 | 2006-12-22 |
| 1598778078 | Stefan Farrell Rnfa, Pllc | Clinical Nurse Specialist | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2006-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.