Provider Demographics
NPI:1477834166
Name:CZURAK, SHARON SUSAN (RNC, WHCNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:SUSAN
Last Name:CZURAK
Suffix:
Gender:F
Credentials:RNC, WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 WALNUT HILL LN
Mailing Address - Street 2:SUITE705
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4405
Mailing Address - Country:US
Mailing Address - Phone:214-345-2777
Mailing Address - Fax:214-345-2760
Practice Address - Street 1:8210 WALNUT HILL LN
Practice Address - Street 2:SUITE705
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4405
Practice Address - Country:US
Practice Address - Phone:214-345-2777
Practice Address - Fax:214-345-2760
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX571511363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health