Provider Demographics
NPI:1699042879
Name:ROSS, SHARON DENISE (NP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:ROSS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40065
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-0065
Mailing Address - Country:US
Mailing Address - Phone:303-831-6686
Mailing Address - Fax:720-932-9255
Practice Address - Street 1:21 SPURS LN STE 245
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1689
Practice Address - Country:US
Practice Address - Phone:210-487-7463
Practice Address - Fax:210-487-7468
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001162224363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner