MEDICARE: TONI DENEICE SHARON FNP-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
1	363LF0000X	Family Nurse Practitioner	AP5653	AZ
2	163W00000X	Registered Nurse	RN144335	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447664743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI DENEICE SHARON FNP-C

Provider Business Mailing Address
First Line	:	250 N LITCHFIELD RD STE 200
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-1378
Country	:	US
Telephone Number	:	480-536-5178
Fax Number	:	888-739-4230

Provider Business Practice Location Address
First Line	:	250 N LITCHFIELD RD STE 200
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-1378
Country	:	US
Telephone Number	:	480-536-5178
Fax Number	:	888-739-4230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	06/02/2026

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