Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 06-966 | AZ |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP9644 | AZ |
NPI | 1104256577 |
---|---|
Provider Name | Dr. Sabine Garrett-Shorty |
First Address | Mesa, AZ 85203-8237 |
Second Address | Mesa, AZ 85203-8237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2013 |
Last Update Date | 23/04/2018 |