Individual
MRS. SARA JOYCE EDMUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1424 S 7TH AVENUE, PHOENIX, AZ 85007
(602) 258-3600
(480) 999-5636
Mailing address
3614 E SOUTHERN AVE, SUITE A105, MESA, AZ 85206-2509
(480) 654-2266
(480) 999-5636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
TAP4506
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP9846
AZ
363LP2300X
Primary Care Nurse Practitioner
AP4506
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158158
—
AZ
Enumeration date
06/13/2012
Last updated
02/28/2020
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