Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 17-1637 | AZ |
N | 175L00000X | Homeopath | 17-1637 | AZ |
NPI | 1467962514 |
---|---|
Provider Name | Dr. Stephanie Kay Huston |
First Address | New River, AZ 85087 |
Second Address | New River, AZ 85087-6530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2017 |
Last Update Date | 08/10/2020 |