Healthcare Provider Details

I. General information

NPI: 1295917136
Provider Name (Legal Business Name): SUE SORENSON WEEKLEY FNP-C, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUE ANN SORENSON

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 W RUDASILL RD
TUCSON AZ
85741-3439
US

IV. Provider business mailing address

2770 W RUDASILL RD
TUCSON AZ
85741-3439
US

V. Phone/Fax

Practice location:
  • Phone: 520-488-3626
  • Fax:
Mailing address:
  • Phone: 520-488-3626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN035949
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP10918
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: