Individual
SARAH CHRISTINE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
5750 W THUNDERBIRD RD, SUITE B200, GLENDALE, AZ 85306-4660
(602) 375-1700
(602) 978-1225
Mailing address
77E THOMAS RD 230, PHOENIX, AZ 85012-3100
(602) 557-0007
(602) 557-0002
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP7841
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045154
—
AZ
Enumeration date
07/20/2015
Last updated
02/21/2017
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