Provider Demographics
NPI:1598339434
Name:HUNTER, SHARONDE L
Entity Type:Individual
Prefix:
First Name:SHARONDE
Middle Name:L
Last Name:HUNTER
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 1:1519 SOUTHWEST BLVD APT 18H
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-1818
Mailing Address - Country:US
Mailing Address - Phone:918-697-2723
Mailing Address - Fax:
Practice Address - Street 1:1519 SOUTHWEST BLVD APT 18H
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74107-1818
Practice Address - Country:US
Practice Address - Phone:918-697-2723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-15
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator