Provider Demographics
NPI:1871195420
Name:STRONG, SHARON ANNE
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANNE
Last Name:STRONG
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:PO BOX 202056
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99520-2056
Mailing Address - Country:US
Mailing Address - Phone:907-223-6377
Mailing Address - Fax:
Practice Address - Street 1:1533 LATOUCHE ST APT C
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-5588
Practice Address - Country:US
Practice Address - Phone:907-223-6377
Practice Address - Fax:866-496-4107
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1010173104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances