Provider Demographics
NPI:1699442459
Name:FUTCH, SHERI DIMTER (APRN, RNP, FNP)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:DIMTER
Last Name:FUTCH
Suffix:
Gender:F
Credentials:APRN, RNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5558 W JADE HOLLOW PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8313
Mailing Address - Country:US
Mailing Address - Phone:949-444-9855
Mailing Address - Fax:
Practice Address - Street 1:5558 W JADE HOLLOW PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-8313
Practice Address - Country:US
Practice Address - Phone:949-444-9855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ263159363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ263159OtherARIZONA STATE BOARD OF NURSING RNP #