Healthcare Provider Details

I. General information

NPI: 1568446813
Provider Name (Legal Business Name): SINDY L SHELDON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6206 W BELL RD SUITE 1
GLENDALE AZ
85308-3750
US

IV. Provider business mailing address

41600 W SMITH ENKE RD BLDG 15
MARICOPA AZ
85138-2702
US

V. Phone/Fax

Practice location:
  • Phone: 602-547-1600
  • Fax: 602-547-1622
Mailing address:
  • Phone: 520-858-5856
  • Fax: 520-866-4646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN041756
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: