MEDICARE: THE ELDERLY ADVOCATE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	RN053710	AZ

General Provider Information

NPI Number	:	1396898458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ELDERLY ADVOCATE INC.

Provider Business Mailing Address
First Line	:	PO BOX 8306
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85252-8306
Country	:	US
Telephone Number	:	602-486-8155
Fax Number	:	623-587-0839

Provider Business Practice Location Address
First Line	:	4040 E MCDOWELL RD
Second Line	:	SUITE # 214
City	:	PHOENIX
State	:	AZ
Zip	:	85008-4414
Country	:	US
Telephone Number	:	602-486-8155
Fax Number	:	623-587-0839

Authorized Official
Title or Position	:	CEO-PRESIDENT
Name	:	SHARON FARRIS-STERN
Credential	:	M.S., A.G.N.P.
Telephone Number	:	602-486-8155

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	08/22/2020

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