Healthcare Provider Details

I. General information

NPI: 1851712707
Provider Name (Legal Business Name): SHEENA TWITCHELL APRN, MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2013
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 N 91ST ST STE A115
SCOTTSDALE AZ
85258-5036
US

IV. Provider business mailing address

9700 N 91ST ST STE A115
SCOTTSDALE AZ
85258-5036
US

V. Phone/Fax

Practice location:
  • Phone: 425-343-6546
  • Fax:
Mailing address:
  • Phone: 425-343-6546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number278491
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1624559
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: