Provider Demographics
NPI:1124531330
Name:OBER-REYNOLDS, SHARMAN ELIZABETH (MSN, FNP, CCRP)
Entity type:Individual
Prefix:
First Name:SHARMAN
Middle Name:ELIZABETH
Last Name:OBER-REYNOLDS
Suffix:
Gender:F
Credentials:MSN, FNP, CCRP
Other - Prefix:
Other - First Name:SHARMAN
Other - Middle Name:ELIZABETH
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:300 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-4103
Mailing Address - Country:US
Mailing Address - Phone:602-218-8225
Mailing Address - Fax:602-340-8720
Practice Address - Street 1:2225 N 16TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-1823
Practice Address - Country:US
Practice Address - Phone:602-218-8225
Practice Address - Fax:602-340-8720
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-09
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ067584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily