Provider Demographics
NPI:1922447747
Name:TONAZZI, SHERA LYNNE (FNP)
Entity Type:Individual
Prefix:
First Name:SHERA
Middle Name:LYNNE
Last Name:TONAZZI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 N SCOTTSDALE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5228
Mailing Address - Country:US
Mailing Address - Phone:480-991-5088
Mailing Address - Fax:480-367-1361
Practice Address - Street 1:10900 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5216
Practice Address - Country:US
Practice Address - Phone:480-991-5088
Practice Address - Fax:480-367-1361
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily