Healthcare Provider Details

I. General information

NPI: 1316945686
Provider Name (Legal Business Name): SARAH LOUISE OBRIEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E OSBORN RD
SCOTTSDALE AZ
85251-6432
US

IV. Provider business mailing address

16407 N 108TH PL
SCOTTSDALE AZ
85255-9058
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-3000
  • Fax:
Mailing address:
  • Phone: 480-262-7238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN087670
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: