Healthcare Provider Details

I. General information

NPI: 1033527726
Provider Name (Legal Business Name): TONJUA SIBLEY F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2014
Last Update Date: 10/20/2024
Certification Date: 10/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N GILBERT RD
GILBERT AZ
85234-2328
US

IV. Provider business mailing address

7309 W ST CATHERINE AVE
LAVEEN AZ
85339-7017
US

V. Phone/Fax

Practice location:
  • Phone: 480-590-2123
  • Fax:
Mailing address:
  • Phone: 602-910-0350
  • Fax: 602-302-7925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP5709
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: