Provider Demographics
NPI:1336129865
Name:OGLESBEE, SHARON KAY (RN-FNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:OGLESBEE
Suffix:
Gender:F
Credentials:RN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 E HOSPITAL ST
Mailing Address - Street 2:
Mailing Address - City:SAN AUGUSTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75972-2122
Mailing Address - Country:US
Mailing Address - Phone:936-275-9716
Mailing Address - Fax:936-275-9059
Practice Address - Street 1:504 E HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:SAN AUGUSTINE
Practice Address - State:TX
Practice Address - Zip Code:75972-2122
Practice Address - Country:US
Practice Address - Phone:936-275-9716
Practice Address - Fax:936-275-9059
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505965363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018839301Medicaid
TXNP0068Medicare ID - Type Unspecified
TX018839301Medicaid