Provider Demographics
NPI:1356017677
Name:ABALOS, SHARLA (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHARLA
Middle Name:
Last Name:ABALOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHARLA
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3970 W ROCKY SPRING DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-7116
Mailing Address - Country:US
Mailing Address - Phone:520-977-8159
Mailing Address - Fax:
Practice Address - Street 1:3970 W ROCKY SPRING DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-7116
Practice Address - Country:US
Practice Address - Phone:520-977-8159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ239106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily