Provider Demographics
NPI:1295270403
Name:WERNER, SHARON A
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:WERNER
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 1:20998 GISI RD
Mailing Address - Street 2:
Mailing Address - City:SAINTE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670-8709
Mailing Address - Country:US
Mailing Address - Phone:573-631-1834
Mailing Address - Fax:844-878-3405
Practice Address - Street 1:20998 GISI RD
Practice Address - Street 2:
Practice Address - City:SAINTE GENEVIEVE
Practice Address - State:MO
Practice Address - Zip Code:63670-8709
Practice Address - Country:US
Practice Address - Phone:573-631-1834
Practice Address - Fax:844-878-3405
Is Sole Proprietor?:No
Enumeration Date:2016-12-23
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant