Provider Demographics
NPI:1043898851
Name:SHARBLE, LA'SHONDA MECHEL (NP-BC, MSN, BS, RN)
Entity Type:Individual
Prefix:
First Name:LA'SHONDA
Middle Name:MECHEL
Last Name:SHARBLE
Suffix:
Gender:F
Credentials:NP-BC, MSN, BS, RN
Other - Prefix:MRS
Other - First Name:L.
Other - Middle Name:MECHEL
Other - Last Name:SHARBLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-BC, MSN, BS, RN
Mailing Address - Street 1:908 DUSTY STONE LOOP
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5675
Mailing Address - Country:US
Mailing Address - Phone:408-834-5191
Mailing Address - Fax:
Practice Address - Street 1:908 DUSTY STONE LOOP
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5675
Practice Address - Country:US
Practice Address - Phone:408-834-5191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016896363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health