Provider Demographics
NPI:1730295767
Name:GUTHRIE, SHARON R (BSN, RN,MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:R
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:BSN, RN,MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9446 E EL CAJON DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-6612
Mailing Address - Country:US
Mailing Address - Phone:520-885-5804
Mailing Address - Fax:
Practice Address - Street 1:2625 N CRAYCROFT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2254
Practice Address - Country:US
Practice Address - Phone:520-324-4214
Practice Address - Fax:520-324-2680
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0049101YP2500X
AZRN018397163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered163WX0200XNursing Service ProvidersRegistered NurseOncology