Provider Demographics
NPI:1558000802
Name:MOLARGIK, SHARON ELAINE
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ELAINE
Last Name:MOLARGIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 STATE ROAD 327
Mailing Address - Street 2:
Mailing Address - City:CORUNNA
Mailing Address - State:IN
Mailing Address - Zip Code:46730-9765
Mailing Address - Country:US
Mailing Address - Phone:260-438-2326
Mailing Address - Fax:
Practice Address - Street 1:2121 LAKE AVE
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-5100
Practice Address - Country:US
Practice Address - Phone:260-460-1345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28093458A163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine