Provider Demographics
NPI:1598828865
Name:NAKO, SHARON K
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:NAKO
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 1:197 MAURL DR
Mailing Address - Street 2:
Mailing Address - City:MINNESOTA CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55959-1131
Mailing Address - Country:US
Mailing Address - Phone:507-429-7466
Mailing Address - Fax:
Practice Address - Street 1:197 MAURL DR
Practice Address - Street 2:
Practice Address - City:MINNESOTA CITY
Practice Address - State:MN
Practice Address - Zip Code:55959-1131
Practice Address - Country:US
Practice Address - Phone:507-429-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency