Provider Demographics
NPI:1568446813
Name:SHELDON, SINDY L (NP-C)
Entity Type:Individual
Prefix:
First Name:SINDY
Middle Name:L
Last Name:SHELDON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41600 W SMITH ENKE RD
Mailing Address - Street 2:BLDG 15
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-2702
Mailing Address - Country:US
Mailing Address - Phone:520-858-5856
Mailing Address - Fax:520-866-4646
Practice Address - Street 1:6206 W BELL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3750
Practice Address - Country:US
Practice Address - Phone:602-547-1600
Practice Address - Fax:602-547-1622
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2016-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZRN041756363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZQ03681Medicare UPIN