Provider Demographics
NPI:1821075979
Name:CARSON-BEAUTO, SHERI MICHELE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:MICHELE
Last Name:CARSON-BEAUTO
Suffix:
Gender:
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 210203
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0203
Mailing Address - Country:US
Mailing Address - Phone:520-626-0414
Mailing Address - Fax:520-626-2211
Practice Address - Street 1:1305 N MARTIN AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-3080
Practice Address - Country:US
Practice Address - Phone:520-626-0414
Practice Address - Fax:520-626-2211
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18860363LP0200X
WAAP30007059363LP0200X
AZAP1804363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics