Individual
SANDRA G MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
198 S CORONADO DR STE A, SIERRA VISTA, AZ 85635-6357
(520) 220-5020
(520) 220-5028
Mailing address
198 S CORONADO DR STE A, SIERRA VISTA, AZ 85635-6357
(520) 220-5020
(520) 220-5028
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
279566
AZ
Other
Enumeration date
07/19/2022
Last updated
06/07/2024
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