Provider Demographics
NPI:1356970990
Name:BARNHART, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:BARNHART
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 1:132 YELLOWSTONE AVE LOT 15
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-9303
Mailing Address - Country:US
Mailing Address - Phone:307-587-9961
Mailing Address - Fax:
Practice Address - Street 1:132 YELLOWSTONE AVE LOT 15
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-9303
Practice Address - Country:US
Practice Address - Phone:307-587-9961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant