Provider Demographics
NPI:1922556505
Name:MEZEL, SHARON
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MEZEL
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 1:2933 MAELSTROM CIR
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-4361
Mailing Address - Country:US
Mailing Address - Phone:501-838-0574
Mailing Address - Fax:
Practice Address - Street 1:2933 MAELSTROM CIR
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-4361
Practice Address - Country:US
Practice Address - Phone:501-838-0574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health