Healthcare Provider Details

I. General information

NPI: 1063359669
Provider Name (Legal Business Name): SARAH A THOMSEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4035 S RIVERPOINT PKWY
PHOENIX AZ
85040-0723
US

IV. Provider business mailing address

4035 S RIVERPOINT PKWY
PHOENIX AZ
85040-0723
US

V. Phone/Fax

Practice location:
  • Phone: 800-866-0723
  • Fax:
Mailing address:
  • Phone: 800-866-0723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704218444
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: