Provider Demographics
NPI:1346239068
Name:STONE-ULRICH, SHARION LEONNA (CNM)
Entity Type:Individual
Prefix:MS
First Name:SHARION
Middle Name:LEONNA
Last Name:STONE-ULRICH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:STONE-ULRICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3343 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5703
Mailing Address - Country:US
Mailing Address - Phone:619-757-6277
Mailing Address - Fax:619-291-5098
Practice Address - Street 1:3343 4TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5703
Practice Address - Country:US
Practice Address - Phone:619-299-0840
Practice Address - Fax:619-299-0892
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2033367A00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife