Niccum, Sheryl

Niccum, Sheryl is an individual health care provider with primary practice located at 18275 N 59Th Avenue Bldg K, Suite 162, Glendale AZ 85308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Niccum, Sheryl can be contacted via phone (602) 547-8184.

Contact Information

Primary practice address
18275 N 59Th Avenue Bldg K, Suite 162 Glendale AZ 85308
Phone: (602) 547-8184
Fax: (602) 547-8339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2438 Arizona

Profile Details

NPI number 1457332199
LBN Legal business name Niccum, Sheryl
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 6th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457332199 NPPES
Arizona MEDICAID 488740

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