Healthcare Provider Details

I. General information

NPI: 1033858592
Provider Name (Legal Business Name): SARAH CHRISTIAN WALTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH CHRISTIAN HAMRA

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 W. ORANGE GROVE RD SUITE 111
TUCSON AZ
85704-1196
US

IV. Provider business mailing address

850 W. RIO SALADO PKWY SUITE 201
TEMPE AZ
85281-3812
US

V. Phone/Fax

Practice location:
  • Phone: 520-623-2642
  • Fax: 520-623-6162
Mailing address:
  • Phone: 480-480-8330
  • Fax: 480-610-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN203257
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number283022
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: