Provider Demographics
NPI:1235304296
Name:NOBBE, SHARADI LYN (RN)
Entity Type:Individual
Prefix:
First Name:SHARADI
Middle Name:LYN
Last Name:NOBBE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3304
Mailing Address - Country:US
Mailing Address - Phone:805-687-7508
Mailing Address - Fax:805-687-6251
Practice Address - Street 1:3010 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3304
Practice Address - Country:US
Practice Address - Phone:805-687-7508
Practice Address - Fax:805-687-6251
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN504150163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health