Healthcare Provider Details

I. General information

NPI: 1912149147
Provider Name (Legal Business Name): SHU-YING HSIEH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 S ALMA SCHOOL RD STE 130
MESA AZ
85210-3088
US

IV. Provider business mailing address

8 CADILLAC DR STE 250
BRENTWOOD TN
37027-5336
US

V. Phone/Fax

Practice location:
  • Phone: 480-565-8590
  • Fax: 480-856-0285
Mailing address:
  • Phone: 615-425-4200
  • Fax: 615-425-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3195
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: