SANDRA BRIGITTE FEDIE


Address: 6036 N 19th Ave Ste 204, Phoenix, AZ 85015-2104
Phone: 4802928542

SANDRA BRIGITTE FEDIE (NPI# 1215441035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215441035
Entity Type Individual
Full Name SANDRA BRIGITTE FEDIE
Credential MSN, RN, FNP, WCC
Practice Address 6036 N 19th Ave Ste 204
Phoenix
AZ 85015-2104
Mailing Address Po Box 1117
Higley
AZ 85236-1117
Practice Telephone 4802928542
Practice Fax Number 4806160603
Mailing Telephone 4806261746
Mailing Fax Number 4806262690
Enumeration Date 2017-12-01
Last Update Date 2020-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0000X Registered Nurse
Specialization: General Practice
RN124457 AZ Nursing Service Providers
N 163WW0000X Registered Nurse
Specialization: Wound Care
2131120 AZ Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
TAP10885 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ LICENSE AP10885 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
10450 N Bell Butte Ct, Kingman, AZ 864018800 6028833647 6027956302
4555 E Mayo Blvd, Phoenix, AZ 850506952 4803845814 4803845678
3944 E Hillery Dr, Phoenix, AZ 850325245 6028833647 6027956302
2745 S Alma School Rd Ste 3, Chandler, AZ 852864405 4802928542 4806160603

Office Location

Street Address 6036 N 19TH AVE STE 204
City PHOENIX
State AZ
Zip Code 85015-2104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508364860 Freedom Health Interventional Centers LLC Clinic/Center 6036 N 19th Ave Ste 204, Phoenix, AZ 85015-2104 2018-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
Find all providers in zip 85015

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407456783 Brenna Michelle Clements Nurse Practitioner 3226 W Donatello Dr, Phoenix, AZ 85086-2200 2020-10-27
1932712825 Grace Wanjiru Karanja Adams Nurse Practitioner 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 2020-08-28
1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
1750916797 Sebastian Freeman Smith Nurse Practitioner 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 2020-03-10
1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
Find all providers in PHOENIX

Competitor

Search similar providers

City PHOENIX
Zip Code 85015

Improve Information

Please comment or provide details below to improve the information on SANDRA BRIGITTE FEDIE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches