Provider Demographics
NPI:1295917136
Name:WEEKLEY, SUE SORENSON (FNP-C, RNFA)
Entity type:Individual
Prefix:
First Name:SUE
Middle Name:SORENSON
Last Name:WEEKLEY
Suffix:
Gender:F
Credentials:FNP-C, RNFA
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:ANN
Other - Last Name:SORENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2770 W RUDASILL RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-3439
Mailing Address - Country:US
Mailing Address - Phone:520-488-3626
Mailing Address - Fax:
Practice Address - Street 1:2770 W RUDASILL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3439
Practice Address - Country:US
Practice Address - Phone:520-488-3626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN035949163WR0006X
AZAP10918363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant