Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 241539 | AZ |
NPI | 1033733555 |
---|---|
Provider Name | Natalia Sheesley |
First Address | Scottsdale, AZ 85260-7254 |
Second Address | Scottsdale, AZ 85260-7254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2020 |
Last Update Date | 01/06/2020 |