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NPI Code Detail

MEDICARE: SHARON ANN WILCOX LMSW, RN

MEDICARE: SHARON ANN WILCOX LMSW, RN
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
11041C0700XClinical Social Worker2090-MAR

General Provider Information

NPI Number : 1659546570
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON ANN WILCOX LMSW, RN
Provider Business Mailing Address
First Line : 1100 NO. COLLEGE
Second Line : VETERANS HEALTH CARE SYSTEM OF THE OZARKS
City : FAYETTEVILLE
State : AR
Zip : 72703-1944
Country : US
Telephone Number : 479-582-7100
Fax Number : 479-251-1036
Provider Business Practice Location Address
First Line : 1100 NORTH COLLEGE
Second Line : VETERANS HEALTH CARE SYSTEM OF THE OZARKS
City : FAYETTEVILLE
State : AR
Zip : 72703-1944
Country : US
Telephone Number : 479-582-7100
Fax Number : 479-251-1036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 05/19/2009

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