SHERRY LAVONNE TULLOCK RNFA NPI 1518016708

NPI Information

NPI: 1518016708
Provider Name: SHERRY LAVONNE TULLOCK, RNFA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
250 E DUNLAP AVE
PHOENIX, AZ
ZIP 85020
Phone: (602) 870-6060
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Sherry Lavonne Tullock, RNFA is a surgical physician assistant in Phoenix, AZ. Sherry Lavonne Tullock, RNFA NPI is 1518016708. 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:

250 E DUNLAP AVE
PHOENIX, AZ
ZIP 85020-825
Phone: (602) 870-6060

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.

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
1	363AS0400X	Physician Assistant	Surgical	RN026453	ARIZONA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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