Provider Demographics
NPI:1144220468
Name:INMAN, SHARON ANN (NP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:INMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 S US HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:BLANCO
Mailing Address - State:TX
Mailing Address - Zip Code:78606-5205
Mailing Address - Country:US
Mailing Address - Phone:830-833-0510
Mailing Address - Fax:830-833-4307
Practice Address - Street 1:4520 S US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:BLANCO
Practice Address - State:TX
Practice Address - Zip Code:78606-5205
Practice Address - Country:US
Practice Address - Phone:830-833-0510
Practice Address - Fax:830-833-4307
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX445206363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167256001Medicaid
TX8Y0013OtherBCBS OF TX
TX167256003Medicaid
TX8N7089OtherBLUE CROSS BLUE SHIELD
TX8G8541Medicare PIN
TX8G3344Medicare PIN
TX167256003Medicaid
TXP00609600Medicare PIN