Provider Demographics
NPI:1477103455
Name:SAWICKI, GRAHAM C (DNP, FNP-BC, RN)
Entity type:Individual
Prefix:
First Name:GRAHAM
Middle Name:C
Last Name:SAWICKI
Suffix:
Gender:M
Credentials:DNP, FNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 S DOBSON RD STE 402
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4777
Mailing Address - Country:US
Mailing Address - Phone:480-412-5550
Mailing Address - Fax:480-412-5434
Practice Address - Street 1:1432 S DOBSON RD STE 402
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4777
Practice Address - Country:US
Practice Address - Phone:480-412-5550
Practice Address - Fax:480-412-5434
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN174629163W00000X
AZRNP232092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse