Healthcare Provider Details

I. General information

NPI: 1083853485
Provider Name (Legal Business Name): SANDRA ABRAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 W BELL RD
PHOENIX AZ
85053-3059
US

IV. Provider business mailing address

8 CADILLAC DR SUITE 250
BRENTWOOD TN
37027-5087
US

V. Phone/Fax

Practice location:
  • Phone: 602-680-2386
  • Fax: 602-680-2387
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 NumberAP3233
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: