Provider Demographics
NPI:1033447958
Name:FRUH, SHARON (CRNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:FRUH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40010
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0010
Mailing Address - Country:US
Mailing Address - Phone:251-471-7944
Mailing Address - Fax:251-471-7451
Practice Address - Street 1:2451 FILLINGIM ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2238
Practice Address - Country:US
Practice Address - Phone:251-471-7944
Practice Address - Fax:251-471-7451
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-069032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily