Provider Demographics
NPI:1356505655
Name:WIMER-NORTON, SHARN AMELIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHARN
Middle Name:AMELIA
Last Name:WIMER-NORTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:AMELIA
Other - Last Name:WIMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:157 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5729
Mailing Address - Country:US
Mailing Address - Phone:970-946-5649
Mailing Address - Fax:970-247-3851
Practice Address - Street 1:157 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5729
Practice Address - Country:US
Practice Address - Phone:970-946-5649
Practice Address - Fax:970-247-3851
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY393051-1163W00000X
CO160181163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse