Provider Demographics
NPI:1083037485
Name:SHARON L COLEMAN MSN ARNP-C LLC
Entity Type:Organization
Organization Name:SHARON L COLEMAN MSN ARNP-C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:812-786-1122
Mailing Address - Street 1:7332 S BUD MILLER RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-9083
Mailing Address - Country:US
Mailing Address - Phone:812-786-1122
Mailing Address - Fax:
Practice Address - Street 1:7332 S BUD MILLER RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-9083
Practice Address - Country:US
Practice Address - Phone:812-786-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty