MEDICARE: SANDRA ALICIA BARCELO-ADAIR ARNP

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	163WP2201X	Ambulatory Care Registered Nurse	AP3451	AZ
2	363LF0000X	Family Nurse Practitioner	ARNP2712912	FL
3	364SF0001X	Family Health Clinical Nurse Specialist	AP3451	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972588614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA ALICIA BARCELO-ADAIR ARNP

Provider Business Mailing Address
First Line	:	95 SOLDIERS PASS RD STE B
Second Line	:
City	:	SEDONA
State	:	AZ
Zip	:	86336-4781
Country	:	US
Telephone Number	:	928-203-4844
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 SOLDIERS PASS RD
Second Line	:
City	:	SEDONA
State	:	AZ
Zip	:	86336-4781
Country	:	US
Telephone Number	:	928-203-4844
Fax Number	:	928-203-4497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	03/01/2021

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