Provider Demographics
NPI:1891064044
Name:STEWART, SHARONE MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:SHARONE
Middle Name:MICHELLE
Last Name:STEWART
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 1:1040 SYLVAN CT
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406-6076
Mailing Address - Country:US
Mailing Address - Phone:717-266-5066
Mailing Address - Fax:
Practice Address - Street 1:1040 SYLVAN CT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-6076
Practice Address - Country:US
Practice Address - Phone:717-266-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN581662163W00000X
MDR170356163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse