Fedie, Sandra Brigitte
Fedie, Sandra Brigitte is an sole proprietor health care provider with primary practice located at 6036 N 19Th Ave Ste 204 , Phoenix AZ 85015-2104. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fedie, Sandra Brigitte can be contacted via phone (480) 292-8542.Contact Information
Primary practice address
6036 N 19Th Ave Ste 204
Phoenix AZ 85015-2104
Phone: (480) 292-8542
Fax: (480) 616-0603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN124457 | Arizona |
| Nursing Service Providers / Wound Care | 163WW0000X | 2131120 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | TAP10885 | Arizona |
Profile Details
| NPI number | 1215441035 |
|---|---|
| LBN Legal business name | Fedie, Sandra Brigitte |
| Credentials | MSN, RN, FNP, WCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2017 |
| Last updated | Feb 26th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215441035 | NPPES |
| Arizona | Other | AP10885 | LICENSE |
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