Healthcare Provider Details

I. General information

NPI: 1063360980
Provider Name (Legal Business Name): FUTURE HORIZONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 E SHEA BLVD STE 255
PHOENIX AZ
85028-3345
US

IV. Provider business mailing address

20551 N PIMA RD
SCOTTSDALE AZ
85255-9159
US

V. Phone/Fax

Practice location:
  • Phone: 480-691-9858
  • Fax: 480-637-4737
Mailing address:
  • Phone: 480-691-9858
  • Fax: 480-637-4737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE SISNEROS
Title or Position: MANAGING PARTNER
Credential:
Phone: 323-760-4148