TAKIETAHA T SANDERS MSN, APRN, FNP-BC
NPI 1053115394
Nurse Practitioner - Family in Phoenix, AZ

Active since April 04, 2025
1247 E EL CAMINO DR, PHOENIX, AZ 85020(602) 909-3767 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Takietaha T Sanders Msn, Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAKIETAHA T SANDERS MSN, APRN, FNP-BC (NPI 1053115394) is an individual family provider in Phoenix, Arizona, licensed in Arizona (223010) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1053115394
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAKIETAHA T SANDERSCredential: MSN, APRN, FNP-BC
Location Address1247 E EL CAMINO DRPhoenix, AZ 85020-3833
Mailing Address1247 E El Camino DrPhoenix, AZ 85020-3833 · (602) 909-3767
Sole ProprietorYes
Enumeration DateApril 4, 2025
NPPES CertifiedMarch 21, 2025
NPI 1053115394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 223010
1247 E EL CAMINO DR, Phoenix, AZ 85020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Takietaha Sanders's NPI number?

The NPI number for Takietaha Sanders is 1053115394. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Takietaha Sanders located?

Takietaha Sanders practices at 1247 E El Camino Dr, Phoenix, AZ 85020. The listed phone number is (602) 909-3767.

What is Takietaha Sanders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Takietaha Sanders was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.