Doctor Name: | MISS SARAH JOY LOCKE |
NPI Number: | 1497091854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, FNP-BC |
License Number: | AP4489 |
Business Practice Address: | 37100 N Gantzel Rd Suite 202 San Tan Valley, AZ - 851407349 |
Business Phone Number: | 4803944469 |
Business Fax Number: | 4803944520 |
Mailing Address: | 37100 N Gantzel Rd, Suite 202 SAN TAN VALLEY |
State: | AZ |
Postal Code: | 851407349 |
Phone Number: | 4803944469 |
Fax Number: | 4803944520 |
NPI Enumeration Date: | 12/12/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP4489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |