Healthcare Provider Details

I. General information

NPI: 1003733171
Provider Name (Legal Business Name): FREEDOM CONCIERGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17500 N PERIMETER DR
SCOTTSDALE AZ
85255-7800
US

IV. Provider business mailing address

17500 N PERIMETER DR
SCOTTSDALE AZ
85255-7800
US

V. Phone/Fax

Practice location:
  • Phone: 480-999-5621
  • Fax: 480-999-5621
Mailing address:
  • Phone: 480-999-5621
  • Fax: 480-999-5621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DIANA SHEEHAN
Title or Position: AUTTHORIZED OFFICIAL
Credential:
Phone: 480-535-6300