Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Ann Gourdoux, ANP-C

Individual provider General Practice Registered Nurse · NPI 1477584118

Stacey Ann Gourdoux, ANP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2005, 21 years ago. Practices with Pulmonary Associates PA, a 16-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2550 W Union Hills Dr Ste 390
Phoenix, AZ 85027-5197
Phone: (602) 443-4068
Fax: (623) 434-8310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP2224 (AZ)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN060766 (AZ)

Record details

NPI number1477584118
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Pulmonary Associates Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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