Provider Demographics
NPI:1164917589
Name:DAVISON, SARAH L (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:DAVISON
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP-BC
Mailing Address - Street 1:PO BOX 33269
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85067-3269
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:1727 W FRYE RD STE 210
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5298
Practice Address - Country:US
Practice Address - Phone:480-728-7564
Practice Address - Fax:480-728-2253
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTAP11341363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care