Individual
SARA THERESE SHANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
9610 N METRO PKWY W, PHOENIX, AZ 85051-1402
(877) 809-5092
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
230933
AZ
Other
Enumeration date
08/13/2019
Last updated
01/19/2023
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