Provider Demographics
NPI:1790929925
Name:NALL, SHARON LOUISE (CNS)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LOUISE
Last Name:NALL
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4205 MCAULEY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-9391
Mailing Address - Country:US
Mailing Address - Phone:405-752-3254
Mailing Address - Fax:405-936-5633
Practice Address - Street 1:4205 MCAULEY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9391
Practice Address - Country:US
Practice Address - Phone:405-752-3254
Practice Address - Fax:405-936-5633
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OKR0042914364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology