Provider Demographics
NPI:1407024359
Name:BRASHEAR, SHARON STATEN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:STATEN
Last Name:BRASHEAR
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 LAKE COVE CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2933
Mailing Address - Country:US
Mailing Address - Phone:757-686-0636
Mailing Address - Fax:
Practice Address - Street 1:6701 LAKE COVE CT
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2933
Practice Address - Country:US
Practice Address - Phone:757-686-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167096163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn