Provider Demographics
NPI:1467528836
Name:NEMATI, SAKINAH A (MSN, ARNP, BC)
Entity Type:Individual
Prefix:MS
First Name:SAKINAH
Middle Name:A
Last Name:NEMATI
Suffix:
Gender:F
Credentials:MSN, ARNP, BC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:M
Other - Last Name:SANSCRAINTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, ARNP
Mailing Address - Street 1:6000 E TEE TIME CT
Mailing Address - Street 2:
Mailing Address - City:CORNVILLE
Mailing Address - State:AZ
Mailing Address - Zip Code:86325-4852
Mailing Address - Country:US
Mailing Address - Phone:904-613-8864
Mailing Address - Fax:904-743-5109
Practice Address - Street 1:1650 E FORT LOWELL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2374
Practice Address - Country:US
Practice Address - Phone:190-461-3886
Practice Address - Fax:904-695-2465
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8875363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ096476Medicaid
FL7665920-00Medicaid
FLQ19995Medicare UPIN