MISS STEPHANIE ANNE VAN HAM (NPI# 1760688212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760688212 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE ANNE VAN HAM |
| Credential | FAMILY NURSE PRACTIT |
| Practice Address |
2025 N 3rd St Suite170 Phoenix AZ 85004-1471 |
| Mailing Address |
17218 N 72nd Dr Ste 100 Glendale AZ 85308-8581 |
| Practice Telephone | 6024621132 |
| Mailing Telephone | 6233348670 |
| Mailing Fax Number | 4804883189 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP2532 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2025 N 3RD ST SUITE170 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231042 | Sharolyn Liane Mcclurg | Nurse Practitioner | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2005-08-03 |
| 1215229984 | Nursestaffing Group Az, LLC | Home Health | 2025 N 3rd St, Suite 290, Phoenix, AZ 85004-1471 | 2011-05-12 |
| 1457654329 | Jacquelyn Suzanne Sanchez | Nurse Practitioner | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2010-12-14 |
| 1578726188 | Inspiris of Arizona Medical Services, P.C. | Internal Medicine | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2008-07-03 |
| 1487837647 | Olive C Burke | Registered Nurse | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2007-12-11 |
| 1942330394 | Patrick F. Pein | Nurse Practitioner | 2025 N 3rd St, Ste 170, Phoenix, AZ 85004-1471 | 2007-03-06 |
| 1306983226 | Angel Marie Frazier | Registered Nurse | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2007-01-31 |
| 1740354265 | Annamarie Bricker | Nurse Practitioner | 2025 N 3rd St, 170, Phoenix, AZ 85004-1471 | 2006-11-17 |
| 1548333032 | Jennifer Joyce Meehan | Nurse Practitioner | 2025 N 3rd St, Suite170, Phoenix, AZ 85004-1471 | 2006-11-15 |
| 1649356114 | For Health of Arizona, Inc. | Nurse Practitioner | 2025 N 3rd St, Suite 170, Phoenix, AZ 85004-1471 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322168 | Tessie Leigh Eberhart | Nurse Practitioner | 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 | 2020-07-02 |
| 1952927048 | John Leo Conway Jr. | Nurse Practitioner | 1705 E Claremont St, Phoenix, AZ 85016-1514 | 2020-06-24 |
| 1902434855 | Alyssa Young | Nurse Practitioner | 3033 N 34th Pl, Phoenix, AZ 85018-6903 | 2020-03-27 |
| 1609408194 | Az Regenerative Medicne | Nurse Practitioner | 16620 N 40th St Ste G2, Phoenix, AZ 85032-3351 | 2020-02-12 |
| 1124667175 | Jennifer Leigh Hanisch | Nurse Practitioner | 7314 S 26th Ln, Phoenix, AZ 85041-6475 | 2019-12-21 |
| 1295370179 | Jessica Anne Harper | Nurse Practitioner | 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 | 2019-11-14 |
| 1134764590 | Rachael Bennett | Nurse Practitioner | 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 | 2019-11-08 |
| 1720621410 | Cynthia Chebator | Nurse Practitioner | 3233 W Peoria Ave Ste 106&120, Phoenix, AZ 85029-4614 | 2019-10-24 |
| 1295396273 | Ashleigh Beatty | Nurse Practitioner | 334 E Acapulco Ln, Phoenix, AZ 85022-3620 | 2019-06-21 |
| 1295292589 | Rosalind Robles Caumban | Nurse Practitioner | 4575 E Cactus Rd Ste 130, Phoenix, AZ 85032-7700 | 2019-02-23 |
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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.