Provider Demographics
NPI:1710919857
Name:HUNTER, SHARON ANN (NP)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANN
Last Name:HUNTER
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:P.O. BOX 2447
Mailing Address - Street 2:
Mailing Address - City:MENDOCINO
Mailing Address - State:CA
Mailing Address - Zip Code:95460-2447
Mailing Address - Country:US
Mailing Address - Phone:707-357-2062
Mailing Address - Fax:
Practice Address - Street 1:45081 LITTLE LAKE ST
Practice Address - Street 2:
Practice Address - City:MENDOCINO
Practice Address - State:CA
Practice Address - Zip Code:95460
Practice Address - Country:US
Practice Address - Phone:707-937-1055
Practice Address - Fax:707-937-1061
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF 6595363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1710919857Medicaid
CAP00872337OtherRAILROAD MEDICARE
CA246265OtherRN
MH0527234OtherDEA
CA246265OtherRN
P44413Medicare UPIN