Provider Demographics
NPI:1275144479
Name:SIMS, SHARON DENISE (CNA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:SIMS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 INTERSTATE 30 STE 405
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2680
Mailing Address - Country:US
Mailing Address - Phone:469-779-9001
Mailing Address - Fax:
Practice Address - Street 1:3213 INTERSTATE 30 STE 405
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2680
Practice Address - Country:US
Practice Address - Phone:972-302-5801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0008423613374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide