Healthcare Provider Details

I. General information

NPI: 1972431393
Provider Name (Legal Business Name): SHERRY LYNN CAZARES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 N ABREGO DR
GREEN VALLEY AZ
85614-2929
US

IV. Provider business mailing address

221 N ABREGO DR
GREEN VALLEY AZ
85614-2929
US

V. Phone/Fax

Practice location:
  • Phone: 928-606-6967
  • Fax: 341-201-3463
Mailing address:
  • Phone: 928-606-6967
  • Fax: 341-201-3463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License NumberAP7303
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: