Healthcare Provider Details

I. General information

NPI: 1679184402
Provider Name (Legal Business Name): SHARON LOUISE BAREFOOT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W PASEO REDONDO
TUCSON AZ
85701-8274
US

IV. Provider business mailing address

742 E UNIVERSITY BLVD
TUCSON AZ
85719-5045
US

V. Phone/Fax

Practice location:
  • Phone: 520-670-3909
  • Fax:
Mailing address:
  • Phone: 505-879-1832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1633622
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number257708
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number257708
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0995828-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: