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

Stephanie Ann Kilborn

Individual provider Family Medicine Physician · NPI 1376414581

Stephanie Ann Kilborn is a Nurse Practitioner in Mesa, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

143 S 63rd St Ste 100
Mesa, AZ 85206-1623
Phone: (480) 416-6140
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 332005 (AZ)

Record details

NPI number1376414581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Mesa