Provider Demographics
NPI:1467769919
Name:STULTS, SHARON DANIELLE (LPN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DANIELLE
Last Name:STULTS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 HERR RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-9408
Mailing Address - Country:US
Mailing Address - Phone:740-225-5126
Mailing Address - Fax:
Practice Address - Street 1:750 HERR RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-9408
Practice Address - Country:US
Practice Address - Phone:740-225-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-04
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN139487164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse