Individual
SHERRY O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
131 W RIVERSIDE DR, PARKER, AZ 85344-5221
(928) 669-6168
Mailing address
131 W RIVERSIDE DR, PARKER, AZ 85344-5221
(928) 669-6168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN079569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353778
OTHER ID NUMBER COMMERCIAL
—
05
—
1053355305
—
CA
Enumeration date
03/12/2021
Last updated
03/12/2021
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