Provider Demographics
NPI:1235575770
Name:LINDA L STUART-DAVIS, INC
Entity type:Organization
Organization Name:LINDA L STUART-DAVIS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. LINDA STUART-DAVIS, DNP, DAC
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STUART-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP AND DAC
Authorized Official - Phone:480-650-6804
Mailing Address - Street 1:6616 E PALO VERDE LN
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-5949
Mailing Address - Country:US
Mailing Address - Phone:480-650-6804
Mailing Address - Fax:480-948-8344
Practice Address - Street 1:10335 N SCOTTSDALE RD # F-G
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-1435
Practice Address - Country:US
Practice Address - Phone:480-650-6804
Practice Address - Fax:480-948-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty