Provider Demographics
NPI:1003830761
Name:KORHEL, SHARON A (APRN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:A
Last Name:KORHEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 W 1000 N
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84116-2135
Mailing Address - Country:US
Mailing Address - Phone:801-408-8626
Mailing Address - Fax:801-364-2436
Practice Address - Street 1:1105 W 1000 N
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84116-2135
Practice Address - Country:US
Practice Address - Phone:801-408-8626
Practice Address - Fax:801-364-2436
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2048704405163WD0400X
UT204870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2048704405OtherUTAH STATE LICENSE