Healthcare Provider Details

I. General information

NPI: 1427779925
Provider Name (Legal Business Name): SARAH CHRISTINE PUMA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W THOMAS RD STE 300
PHOENIX AZ
85013-4294
US

IV. Provider business mailing address

500 W THOMAS RD STE 500
PHOENIX AZ
85013-4220
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-9692
  • Fax:
Mailing address:
  • Phone: 602-406-9692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number322237
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN201105
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: