Provider Demographics
NPI:1235563867
Name:MORGAN, SHARON BLAND (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:BLAND
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:MARIE
Other - Last Name:BLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:P.O.BOX 552
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80437
Mailing Address - Country:US
Mailing Address - Phone:303-697-5036
Mailing Address - Fax:
Practice Address - Street 1:5435 SO. TWINSPRUCE RD.
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439
Practice Address - Country:US
Practice Address - Phone:303-697-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO008723163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse