Sherifatu Wills, FNP-C

Nurse Practitioner, Family in Glendale, AZ. Individual provider (NPI-1).

NPI number1699412262

StatusActive

Last updated in NPPESJun 28, 2022

Details

NPI: 1699412262
Entity type: Individual (NPI-1)
Name: Sherifatu Wills
Credential: FNP-C
Sex: Female
Sole proprietor: Yes
Enumeration date: May 16, 2022
Certification date: Jun 28, 2022
Last updated: Jun 28, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	274770	AZ	Yes

Practice location

18591 N 59th Ave
Glendale, AZ 85308-1251

Phone 602-789-1166

Mailing address

18591 N 59th Ave
Glendale, AZ 85308-1251

Phone 602-789-1166

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Glendale, AZ

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