Healthcare Provider Details

I. General information

NPI: 1972457505
Provider Name (Legal Business Name): SERENA M OEHLERS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9787 N 91ST ST STE 101
SCOTTSDALE AZ
85258-5088
US

IV. Provider business mailing address

3932 VERMONT AVE
ALEXANDRIA VA
22304-6325
US

V. Phone/Fax

Practice location:
  • Phone: 602-878-2589
  • Fax:
Mailing address:
  • Phone: 419-376-7674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024194974
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number238319
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: