Provider Demographics
NPI:1366523987
Name:YENNY, SHARON K (NP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:YENNY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2228 E INDIAN WELLS DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-9742
Mailing Address - Country:US
Mailing Address - Phone:402-681-8872
Mailing Address - Fax:
Practice Address - Street 1:7534 E 2ND ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-4548
Practice Address - Country:US
Practice Address - Phone:480-607-3800
Practice Address - Fax:480-607-3808
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP7457363LA2200X
IAH-111615363LA2200X
NE110288363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health