Individual
SIERRA LARSEN-VANDERVEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3839 W CAMELBACK RD, PHOENIX, AZ 85019-2598
(602) 764-6033
Mailing address
4522 N 15TH AVE, PHOENIX, AZ 85015-3805
(602) 764-6033
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
281290
AZ
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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