Lee-Roeder, Sharon Sue

Lee-Roeder, Sharon Sue is an individual health care provider with primary practice located at 7700 E Florentine Rd Ste 202 , Prescott Valley AZ 86314-2245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee-Roeder, Sharon Sue can be contacted via phone (928) 442-8710.

Contact Information

Primary practice address
7700 E Florentine Rd Ste 202 Prescott Valley AZ 86314-2245
Phone: (928) 442-8710
Fax: (928) 442-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP10956 Arizona

Profile Details

NPI number 1801101316
LBN Legal business name Lee-Roeder, Sharon Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2010
Last updated Apr 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801101316 NPPES
Arizona MEDICAID 362463

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