Provider Demographics
NPI:1275758971
Name:PAUL, SHARON L (DNP, APRN, BC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:L
Last Name:PAUL
Suffix:
Gender:F
Credentials:DNP, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17762 N. EL DORADO WAY
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374
Mailing Address - Country:US
Mailing Address - Phone:623-243-0635
Mailing Address - Fax:
Practice Address - Street 1:2066 W. APACHE TRAIL
Practice Address - Street 2:SUITE 112
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120
Practice Address - Country:US
Practice Address - Phone:480-503-8530
Practice Address - Fax:480-503-8531
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2469363LP0808X
MI4704203251363LP0808X, 2084P0800X
AZ1408342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry