Provider Demographics
NPI:1881694784
Name:VARNER, SHARON KAY (CNM)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:KAY
Last Name:VARNER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-636-9270
Mailing Address - Fax:704-636-1095
Practice Address - Street 1:911 W HENDERSON ST STE 300
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2700
Practice Address - Country:US
Practice Address - Phone:704-636-9270
Practice Address - Fax:704-636-1095
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19694367A00000X
NC350367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1134570336Medicaid
SCMW0234Medicaid
NCQ42161Medicare UPIN
SCQ515377951Medicare PIN