Healthcare Provider Details

I. General information

NPI: 1457583189
Provider Name (Legal Business Name): AMY JEAN SCHORN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2009
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8880 E DESERT COVE AVE
SCOTTSDALE AZ
85260-6746
US

IV. Provider business mailing address

PO BOX 6423
CHANDLER AZ
85246-6423
US

V. Phone/Fax

Practice location:
  • Phone: 480-314-6670
  • Fax: 480-257-1997
Mailing address:
  • Phone: 803-146-6704
  • Fax: 480-257-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR144785-3
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP9938
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: