Provider Demographics
NPI:1649330036
Name:FRIEDMAN-ZIEGLER, SHERRY K (ANP, GNP, MS, CDE)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:K
Last Name:FRIEDMAN-ZIEGLER
Suffix:
Gender:F
Credentials:ANP, GNP, MS, CDE
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:K
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP, GNP, MS, CDE
Mailing Address - Street 1:6050 N CORONA RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1096
Mailing Address - Country:US
Mailing Address - Phone:520-297-2535
Mailing Address - Fax:520-297-0436
Practice Address - Street 1:6050 N CORONA RD
Practice Address - Street 2:SUITE #1
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1096
Practice Address - Country:US
Practice Address - Phone:520-297-2535
Practice Address - Fax:520-297-0436
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1178363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZMF0591380Medicare ID - Type Unspecified
AZP81748Medicare UPIN