Healthcare Provider Details
I. General information
NPI: 1285057117
Provider Name (Legal Business Name): SHERRY ELIZABETH HRON APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/29/2014
Last Update Date: 11/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5750 E HIGHWAY 90 STE 200
SIERRA VISTA AZ
85635-9113
US
IV. Provider business mailing address
3307 W CAPITAL AVE
GRAND ISLAND NE
68803-1334
US
V. Phone/Fax
- Phone: 520-263-3500
- Fax:
- Phone: 308-385-5175
- Fax: 308-385-5181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 111575 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP7302 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: