Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shirene Woodham, DNPFNP-BCAGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1326527508

Dr. Shirene Woodham, DNPFNP-BCAGACNP-BC is a Nurse Practitioner in Mesa, Arizona. Qualified in 2019, 7 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone: (480) 751-3091
Fax: (480) 751-3095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3035 S Ellsworth Rd, Mesa, AZ 85212-2137 — (480) 280-7229

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 226355 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 226355 (AZ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 226355 (AZ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 226355 (AZ)

Record details

NPI number1326527508
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPFNP-BCAGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mesa