Sheryl Niccum is a Family in Glendale, Arizona. Sheryl Niccum practices all healthcare services and medical treatments related to Family. The NPI Number for Sheryl Niccum is 1457332199. The last update date is 2014-11-06.
Sheryl Niccum's current location address is 18275 N 59th Avenue, Glendale, Arizona. You can contact this provider via phone number 6025478184 and fax number 6025478339. The mailing address for Sheryl Niccum is 18275 N 59th Avenue, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheryl Niccum |
|---|---|
| Address | 18275 N 59th Avenue, Glendale, Arizona |
| Phone Number | 6025478184 |
| Fax Number | 6025478339 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1457332199 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2014-11-06 |
Provider Mailing Address Detail
| Address | 18275 N 59th Avenue |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 85308 |
| Phone Number | 6025478184 |
| Fax Number | 6025478339 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP2438 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 488740 | AZ | -- |
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What is the unique 10-digit identifier code assigned to Sheryl Niccum by the Centers for Medicare & Medicaid Services?
The Sheryl Niccum has been issued the NPI (National Provider Identifier) 1457332199 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sheryl Niccum?
The Sheryl Niccum is situated at 18275 N 59Th Avenue, in the city of Glendale, state of AZ, with the zip code 85308.
What is the Sheryl Niccum's area of specialization and corresponding taxonomy classification?
The Sheryl Niccum's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
When did the Sheryl Niccum receive its 1457332199?
The Sheryl Niccum was issued its 1457332199 on 2005-11-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Sheryl Niccum's details last updated?
The information pertaining to the Sheryl Niccum, including its address, specialty, and other details, was most recently updated on 2014-11-06.
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