Individual
MS. TANYA R. SORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NP
Contact information
Practice address
1645 W JACKSON BLVD STE 302, CHICAGO, IL 60612-3227
(928) 304-3866
(615) 622-8760
Mailing address
3525 W OXFORD AVE, DENVER, CO 80236-3106
(303) 315-6150
(303) 797-4266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN124885
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0000100
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209.021792
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1834
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811093
AHCCCS
AZ
Enumeration date
05/18/2006
Last updated
05/23/2025
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