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SANDRA BRIGITTE FEDIE MSN RN FNP WCC NPI 1215441035


NPI Information

NPI: 1215441035
Provider Name: SANDRA BRIGITTE FEDIE, MSN, RN, FNP, WCC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6036 N 19TH AVE STE 204
PHOENIX, AZ
ZIP 85015
Phone: (480) 292-8542
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Sandra Brigitte Fedie, MSN, RN, FNP, WCC is a family nurse practitioner in Phoenix, AZ with 7 years of experience. Sandra Brigitte Fedie, MSN, RN, FNP, WCC NPI is 1215441035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6036 N 19TH AVE STE 204
PHOENIX, AZ
ZIP 85015-104
Phone: (480) 292-8542
Fax: (480) 616-0603

The NPI 1215441035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2017 and was last updated on 2/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral PracticeRN124457ARIZONANo
2163WW0000XRegistered NurseWound Care2131120ARIZONANo
3363LF0000XNurse PractitionerFamilyTAP10885ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP10885OTHERARIZONALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.