Provider Demographics
NPI:1437283694
Name:WHITE, SHARON YVONNE (STNA)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:YVONNE
Last Name:WHITE
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 BISSON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1445
Mailing Address - Country:US
Mailing Address - Phone:330-645-5448
Mailing Address - Fax:
Practice Address - Street 1:785 BISSON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1445
Practice Address - Country:US
Practice Address - Phone:330-645-5448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363058261189E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide