Provider Demographics
NPI:1811616105
Name:LADENHEIM, SHARON DENISE (RN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:LADENHEIM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 NW 26TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-1532
Mailing Address - Country:US
Mailing Address - Phone:386-365-8780
Mailing Address - Fax:
Practice Address - Street 1:6507 NW 26TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-1532
Practice Address - Country:US
Practice Address - Phone:386-365-8780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3384902163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty