Healthcare Provider Details

I. General information

NPI: 1508366402
Provider Name (Legal Business Name): SERENA DAWN ROBERTS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2018
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 S ALMA SCHOOL RD STE 121
CHANDLER AZ
85286-4404
US

IV. Provider business mailing address

40444 W JENNA LN
MARICOPA AZ
85138-6322
US

V. Phone/Fax

Practice location:
  • Phone: 602-693-3476
  • Fax: 480-508-7624
Mailing address:
  • Phone: 602-693-3476
  • Fax: 480-508-7624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP10959
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: