Provider Demographics
NPI:1427794643
Name:SAWYER, ALISHA RENEE (FNP-C)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:RENEE
Last Name:SAWYER
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 1:16430 W YUMA RD
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-3102
Mailing Address - Country:US
Mailing Address - Phone:623-465-6405
Mailing Address - Fax:623-465-6405
Practice Address - Street 1:16430 W YUMA RD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-3102
Practice Address - Country:US
Practice Address - Phone:623-465-6405
Practice Address - Fax:623-465-6405
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP274675363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care