Healthcare Provider Details

I. General information

NPI: 1881678084
Provider Name (Legal Business Name): SHARON MILAN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 W CONGRESS ST
TUCSON AZ
85745-2819
US

IV. Provider business mailing address

839 W CONGRESS ST
TUCSON AZ
85745-2819
US

V. Phone/Fax

Practice location:
  • Phone: 520-670-3870
  • Fax: 520-670-3896
Mailing address:
  • Phone: 520-670-3870
  • Fax: 520-670-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN081659
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: