Provider Demographics
NPI:1932082104
Name:CURRAN, STACY L (FNP-C)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:L
Last Name:CURRAN
Suffix:
Gender:X
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3295 MONTE CARLO AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86406-5565
Mailing Address - Country:US
Mailing Address - Phone:928-846-1353
Mailing Address - Fax:
Practice Address - Street 1:3295 MONTE CARLO AVE
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406-5565
Practice Address - Country:US
Practice Address - Phone:928-846-1353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN193394163WC0400X
AZRNP328110363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management