Healthcare Provider Details

I. General information

NPI: 1972588614
Provider Name (Legal Business Name): SANDRA ALICIA BARCELO-ADAIR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA ALICIA BARCELO-ADAIR ARNP

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 SOLDIERS PASS RD
SEDONA AZ
86336-4781
US

IV. Provider business mailing address

95 SOLDIERS PASS RD STE B
SEDONA AZ
86336-4781
US

V. Phone/Fax

Practice location:
  • Phone: 928-203-4844
  • Fax: 928-203-4497
Mailing address:
  • Phone: 928-203-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberAP3451
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP2712912
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAP3451
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: