Provider Demographics
NPI:1487930699
Name:ALDOR, SARAH JANE (FNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:ALDOR
Suffix:
Gender:F
Credentials:FNP
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 961
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-0961
Mailing Address - Country:US
Mailing Address - Phone:520-971-1157
Mailing Address - Fax:
Practice Address - Street 1:8920 E TANQUE VERDE RD
Practice Address - Street 2:CVS-MINUTE CLINIC #9302
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-9604
Practice Address - Country:US
Practice Address - Phone:520-760-9188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4127363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily