Provider Demographics
NPI:1841338969
Name:ROLAND, SHARON KATHLEEN (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:KATHLEEN
Last Name:ROLAND
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8454 W ASTER DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5105
Mailing Address - Country:US
Mailing Address - Phone:602-353-5442
Mailing Address - Fax:602-353-5479
Practice Address - Street 1:3201 W SHERMAN ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-5680
Practice Address - Country:US
Practice Address - Phone:602-353-5442
Practice Address - Fax:602-353-5479
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN049416163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool