Provider Demographics
NPI:1154314375
Name:MCDONALD, SHARON JEAN (RNFA)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:JEAN
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:JEAN
Other - Last Name:HAGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA
Mailing Address - Street 1:471 NEWPORT PLACE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-7551
Mailing Address - Country:US
Mailing Address - Phone:707-526-5376
Mailing Address - Fax:
Practice Address - Street 1:1165 MONTGOMERY DR
Practice Address - Street 2:SANTA ROSA MEMORIAL HOSPITAL
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-4801
Practice Address - Country:US
Practice Address - Phone:707-525-5272
Practice Address - Fax:707-525-5249
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA265141163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse