Provider Demographics
NPI:1033805312
Name:STAMPS, SHARI (CBS, CST, PPD)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:STAMPS
Suffix:
Gender:F
Credentials:CBS, CST, PPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2569 MIDDLEBURY DR
Mailing Address - Street 2:
Mailing Address - City:LATHROP
Mailing Address - State:CA
Mailing Address - Zip Code:95330-8464
Mailing Address - Country:US
Mailing Address - Phone:510-386-2682
Mailing Address - Fax:
Practice Address - Street 1:2569 MIDDLEBURY DR
Practice Address - Street 2:
Practice Address - City:LATHROP
Practice Address - State:CA
Practice Address - Zip Code:95330-8464
Practice Address - Country:US
Practice Address - Phone:510-386-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 374J00000X
CA174H00000X, 174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoula