MEDICARE: SHARRON DOWNS

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
1	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0509	OTHER		NO OTHER NUMBER

General Provider Information

NPI Number	:	1487362653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARRON DOWNS

Provider Business Mailing Address
First Line	:	1441 S LINDSAY RD APT 2112
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-6286
Country	:	US
Telephone Number	:	313-318-6273
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 S LINDSAY RD APT 2112
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-6286
Country	:	US
Telephone Number	:	313-318-6273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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Directions to “ SHARRON DOWNS ” Practice Location

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