Provider Demographics
NPI:1104256577
Name:GARRETT-SHORTY, SABINE (FNP-C)
Entity type:Individual
Prefix:DR
First Name:SABINE
Middle Name:
Last Name:GARRETT-SHORTY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8237
Mailing Address - Country:US
Mailing Address - Phone:480-268-2670
Mailing Address - Fax:480-646-1002
Practice Address - Street 1:1840 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8237
Practice Address - Country:US
Practice Address - Phone:480-268-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ06-966175F00000X
AZAP9644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No175F00000XOther Service ProvidersNaturopath