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NPI Code Detail

MEDICARE: MS. SHARON JEAN MCDONALD RNFA

MEDICARE: MS. SHARON JEAN MCDONALD RNFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse265141CA

General Provider Information

NPI Number : 1154314375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON JEAN MCDONALD RNFA
Provider Business Mailing Address
First Line : 471 NEWPORT PLACE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-7551
Country : US
Telephone Number : 707-526-5376
Fax Number :
Provider Business Practice Location Address
First Line : 1165 MONTGOMERY DR
Second Line : SANTA ROSA MEMORIAL HOSPITAL
City : SANTA ROSA
State : CA
Zip : 95405-4801
Country : US
Telephone Number : 707-525-5272
Fax Number : 707-525-5249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 07/08/2007

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