Provider Demographics
NPI:1942736277
Name:CASON-CARD, SHARON
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CASON-CARD
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 1:2411 HICKS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-5420
Mailing Address - Country:US
Mailing Address - Phone:804-400-9850
Mailing Address - Fax:
Practice Address - Street 1:2411 HICKS RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-5420
Practice Address - Country:US
Practice Address - Phone:804-400-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator