Sara E Davidson, RN

Individual provider Active NPI Community Health Registered Nurse · Douglas, AZ

NPI 1760064307 · NPPES record last updated Apr 23, 2021

Key facts

NPI
1760064307
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN174664 (AZ)
Practice address
1430 E Camino Chavinda
Douglas, AZ 85607-5290
Phone
(520) 678-1099
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN174664AZMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group Current
since Apr 25, 2021
Accepting new patients
Adobe Care and Wellness LLC Past
since Apr 25, 2021
Accepting new patients

Locations

4041 S McClintock Dr
Ste 302
Tempe, AZ 85282
Phone (520) 233-7111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN174664 AZ Yes

Addresses

Primary practice location

1430 E Camino Chavinda
Douglas, AZ 85607-5290

Mailing address

4041 S McClintock Dr Ste 302
Tempe, AZ 85282-5879
Phone (520) 233-7111

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html
CONNECT URL securerecords.sanford.html
CONNECT URL securerecords.sanford.html Adobe Care and Wellness LLC

Other providers in Douglas, AZ

All providers in Douglas, AZ · Community Health Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.