Healthcare Provider Details

I. General information

NPI: 1215920269
Provider Name (Legal Business Name): SHERRI LYNN SESSLER PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 11/08/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15640 N. 28TH DRIVE-ARIZONA ENDOCRINOLOGY
PHOENIX AZ
85053
US

IV. Provider business mailing address

15640 N. 28TH DRIVE-ARIZONA ENDOCRINOLOGY
PHOENIX AZ
85053
US

V. Phone/Fax

Practice location:
  • Phone: 602-439-9000
  • Fax: 602-978-5233
Mailing address:
  • Phone: 602-439-9000
  • Fax: 602-978-5233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberAZ2155
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: