Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy-Ann Shand, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1164876405

Stacy-Ann Shand, NURSEPRACTITIONER is a Nurse Practitioner in Fort Defiance, Arizona. Qualified in 2015, 11 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 738 61st Ave S, St Petersburg, FL 33705-5747 — (727) 864-3549
  • 80 B Veterans Blvd, Acoma, NM 87034 — (505) 552-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP 9280531 (FL)

Record details

NPI number1164876405
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedApril 22, 2016
Last updated in NPPESJuly 23, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Defiance