NPI Code Details Logo

NPI 1114999802

NPI 1114999802 : SUE GARBER NP : SUN CITY, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114999802
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SUE GARBER NP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/06/2006
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    13203 N 103RD AVE SUITE I-1
-----------------------------------------------------
    City                 |    SUN CITY
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85351-3028
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    623-875-6580
-----------------------------------------------------
    Fax                  |    623-974-8413
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5026 E BLANCHE DR 
-----------------------------------------------------
    City                 |    SCOTTSDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85254-2229
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-482-3255
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    APN0849
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.