Provider Demographics
NPI:1427681162
Name:DELEON, SARAH (FNP-BC-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:FNP-BC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4144
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85366-2411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2200 W 28TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6935
Practice Address - Country:US
Practice Address - Phone:928-317-4585
Practice Address - Fax:928-317-4575
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ237170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily