Provider Demographics
NPI:1881734978
Name:CAMPER, SHARON ANN (BRN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:CAMPER
Suffix:
Gender:F
Credentials:BRN
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:RYCHTERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:242 N VILLA AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-2641
Mailing Address - Country:US
Mailing Address - Phone:530-865-6459
Mailing Address - Fax:530-865-6483
Practice Address - Street 1:242 N VILLA AVE
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2641
Practice Address - Country:US
Practice Address - Phone:530-865-6459
Practice Address - Fax:530-865-6483
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 200954163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse