Provider Demographics
NPI:1295550416
Name:WHITE, SHARONDA (CNA)
Entity type:Individual
Prefix:MS
First Name:SHARONDA
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MS
Other - First Name:SHARONDA
Other - Middle Name:
Other - Last Name:SPRUILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:5750 CHESAPEAKE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-5325
Mailing Address - Country:US
Mailing Address - Phone:757-217-5772
Mailing Address - Fax:
Practice Address - Street 1:5750 CHESAPEAKE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-5325
Practice Address - Country:US
Practice Address - Phone:757-217-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401152143376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide