Individual
SANDRA SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 W LAVITT LN, PHOENIX, AZ 85086-6346
(215) 964-1926
Mailing address
513 W LAVITT LN, PHOENIX, AZ 85086-6346
(215) 964-1926
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP8010
AZ
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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