Healthcare Provider Details

I. General information

NPI: 1871195420
Provider Name (Legal Business Name): SHARON ANNE STRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 08/17/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1533 LATOUCHE ST APT C
ANCHORAGE AK
99501-5588
US

IV. Provider business mailing address

PO BOX 202056
ANCHORAGE AK
99520-2056
US

V. Phone/Fax

Practice location:
  • Phone: 907-223-6377
  • Fax: 866-496-4107
Mailing address:
  • Phone: 907-223-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number101017
License Number StateAK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: