Individual
MRS. SONIA JEAN SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
14901 E RINCON CREEK RANCH RD, TUCSON, AZ 85747
(832) 266-9942
Mailing address
3003 N CENTRAL AVE, PHOENIX, AZ 85012-2902
(832) 266-9942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP7803
AZ
363LA2200X
Adult Health Nurse Practitioner
AP7803
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861672081
—
AZ
Enumeration date
11/05/2007
Last updated
02/13/2024
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