Provider Demographics
NPI:1225014129
Name:HOOVER, SHARON K (RN,ARNP,CRNA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:HOOVER
Suffix:
Gender:F
Credentials:RN,ARNP,CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 442 BOX 686
Mailing Address - Street 2:
Mailing Address - City:APO AE
Mailing Address - State:APO EUROPE
Mailing Address - Zip Code:09042
Mailing Address - Country:DE
Mailing Address - Phone:01149622-158-9773
Mailing Address - Fax:
Practice Address - Street 1:CMR 442 BOX 686
Practice Address - Street 2:
Practice Address - City:APO AE
Practice Address - State:APO EUROPE
Practice Address - Zip Code:09042
Practice Address - Country:DE
Practice Address - Phone:01149622-158-9773
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0258010000RN00069920367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered