Provider Demographics
NPI:1437299765
Name:BARTELS, SHARON LEE (RN,FNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LEE
Last Name:BARTELS
Suffix:
Gender:F
Credentials:RN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 CSM DR
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3651
Mailing Address - Country:US
Mailing Address - Phone:650-357-4639
Mailing Address - Fax:
Practice Address - Street 1:1700 W HILLSDALE BLVD
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-3757
Practice Address - Country:US
Practice Address - Phone:650-574-6396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA209483163WC1400X
CA14521F363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1400XNursing Service ProvidersRegistered NurseCollege Health