Woodham, Shirene
Woodham, Shirene is an individual health care provider with primary practice located at 3035 S Ellsworth Rd Ste 121, Mesa AZ 85212-2137. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woodham, Shirene can be contacted via phone (480) 280-7229.Contact Information
Primary practice address
3035 S Ellsworth Rd Ste 121
Mesa AZ 85212-2137
Phone: (480) 280-7229
Fax: (480) 280-0719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 226355 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 226355 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 226355 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 226355 | Arizona |
Profile Details
| NPI number | 1326527508 |
|---|---|
| LBN Legal business name | Woodham, Shirene |
| Credentials | DNP FNP-BC AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2018 |
| Last updated | Oct 18th, 2021 - about 5 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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