Healthcare Provider Details

I. General information

NPI: 1306340310
Provider Name (Legal Business Name): SHARON LYNN SAWYER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W BROWN RD STE 1004
MESA AZ
85201-3222
US

IV. Provider business mailing address

560 W BROWN RD STE 1004
MESA AZ
85201-3222
US

V. Phone/Fax

Practice location:
  • Phone: 480-470-9672
  • Fax: 480-870-1478
Mailing address:
  • Phone: 480-470-9672
  • Fax: 480-870-1478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number260365
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0004660-C-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number260365
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: