Niccum, Sheryl
Niccum, Sheryl is an individual health care provider with primary practice located at 18275 N 59Th Avenue Bldg K, Suite 162, Glendale AZ 85308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Niccum, Sheryl can be contacted via phone (602) 547-8184.Contact Information
Primary practice address
18275 N 59Th Avenue Bldg K, Suite 162
Glendale AZ 85308
Phone: (602) 547-8184
Fax: (602) 547-8339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP2438 | Arizona |
Profile Details
| NPI number | 1457332199 |
|---|---|
| LBN Legal business name | Niccum, Sheryl |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Nov 6th, 2014 - about 10 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457332199 | NPPES |
| Arizona | MEDICAID | 488740 |
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