1649330036 NPI number — MS. SHERRY K. FRIEDMAN-ZIEGLER ANP, GNP, MS, CDE

Table of content: MS. SHERRY K. FRIEDMAN-ZIEGLER ANP, GNP, MS, CDE (NPI 1649330036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649330036 NPI number — MS. SHERRY K. FRIEDMAN-ZIEGLER ANP, GNP, MS, CDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRIEDMAN-ZIEGLER
Provider First Name:
SHERRY
Provider Middle Name:
K.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ANP, GNP, MS, CDE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRIEDMAN
Provider Other First Name:
SHERRY
Provider Other Middle Name:
K.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
ANP, GNP, MS, CDE
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649330036
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6050 N CORONA RD
Provider Second Line Business Mailing Address:
SUITE #1
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85704-1096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-297-2535
Provider Business Mailing Address Fax Number:
520-297-0436

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6050 N CORONA RD
Provider Second Line Business Practice Location Address:
SUITE #1
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85704-1096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-297-2535
Provider Business Practice Location Address Fax Number:
520-297-0436
Provider Enumeration Date:
12/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  AP1178 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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