Provider Demographics
NPI:1740853381
Name:CARNEY, SHARON R
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:R
Last Name:CARNEY
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 1:248 WELLINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-6283
Mailing Address - Country:US
Mailing Address - Phone:757-266-0653
Mailing Address - Fax:
Practice Address - Street 1:248 WELLINGTON CIR
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:VA
Practice Address - Zip Code:23430-6283
Practice Address - Country:US
Practice Address - Phone:757-266-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care