Provider Demographics
NPI:1033994280
Name:GASMEN, SHARON ROSE S
Entity Type:Individual
Prefix:
First Name:SHARON ROSE
Middle Name:S
Last Name:GASMEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-986 KUALUA PL
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2811
Mailing Address - Country:US
Mailing Address - Phone:808-676-0478
Mailing Address - Fax:808-676-0478
Practice Address - Street 1:94-986 KUALUA PL
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2811
Practice Address - Country:US
Practice Address - Phone:808-676-0478
Practice Address - Fax:808-676-0478
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI041006609376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide