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NPI Code Detail

MEDICARE: MRS. SHEELAGH WILLETT ANP-C

MEDICARE:  MRS. SHEELAGH  WILLETT  ANP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAP1940AZ

General Provider Information

NPI Number : 1124115175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHEELAGH WILLETT ANP-C
Provider Business Mailing Address
First Line : 4540 E MARK LN
Second Line :
City : CAVE CREEK
State : AZ
Zip : 85331-3298
Country : US
Telephone Number : 602-625-9988
Fax Number :
Provider Business Practice Location Address
First Line : 3141 N 3RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4351
Country : US
Telephone Number : 602-571-3903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SHEELAGH WILLETT ANP-C” Practice Location

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