Provider Demographics
NPI:1548800295
Name:CORWIN, SHARON DENICE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:DENICE
Last Name:CORWIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6522 CAMP BULLIS RD APT 5206
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2374
Mailing Address - Country:US
Mailing Address - Phone:314-680-3130
Mailing Address - Fax:
Practice Address - Street 1:6522 CAMP BULLIS RD APT 5206
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2374
Practice Address - Country:US
Practice Address - Phone:314-680-3140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX971473163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse